| Name: | Letitia M. Williams, DDS, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 28 Jan 2002 (23 years ago) (Companies founded in January 2002) |
| Entity Number: | 000-679-968 |
| Register Number: | 000679968 |
| Place of Formation: | Bullock County |
| Principal Address: | UNION SPRINGS, AL |
| Registered Office Street Address: | 301 PRAIRIE ST NORTHUNION SPRINGS, AL 36089-1418 |
Activities
DENTAL SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1841754629 | 2019-01-26 | 2019-01-26 | 206 CONECUH AVE E, UNION SPRINGS, AL, 360891411, US | 206 CONECUH AVE E, UNION SPRINGS, AL, 360891411, US | |||||||||||||||||||||
|
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| Phone | +1 334-738-3111 |
| Fax | 3347383211 |
Authorized person
| Name | DR. LETITIA M WILLIAMS |
| Role | DOCTOR |
| Phone | 3347383111 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 009942180 |
| State | AL |
| Name | Role |
|---|---|
| WILLIAMS-WATFORD, LETITIA M | Agent |
| Name | Role |
|---|---|
| WILLIAMS-WATFORD, LETITIA M | Member |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
