Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jasmyn Nicole Williams, DDM

Individual provider General Practice Dentistry · NPI 1053001891

Jasmyn Nicole Williams, DDM is a Dentist in Columbia, Missouri. Qualified in 2025, 1 year ago. Practices as a sole proprietor. Licensed in Missouri.

Years since qualifying
1
Licensed in
MO
In the registry since
2023
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Practice location Address checks out

303 N Keene St Ste 202
Columbia, MO 65201-8052
Phone: (844) 853-8937
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 2025025226 (MO)

Record details

NPI number1053001891
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDM
Sole proprietorYes
NPI enumeratedMay 12, 2023
Last updated in NPPESJuly 15, 2025
Certification dateJuly 15, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDENTIST
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

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