Dr. Shane Anthony Williams
D.M.D. | Oral and Maxillofacial Pathologist | 17+ years Exp
1802 Rockingham Ave, Bowling Green
Kentucky, 42104-3348
270-783-0064 270-901-1997
Maps & DirectionsDr. Shane Anthony Williams is a Bowling Green, Kentucky based Oral and Maxillofacial Pathologist with
17 years of experience in
Oral and Maxillofacial Pathology. He completed his graduation from
University Of Louisville School Of Medicine in 2008. He may accept the Medicare-approved amount. Patients may be billed for more than the Medicare deductible and coinsurance. Active license number of Dr. Shane Anthony Williams is
9943 for Oral and Maxillofacial Surgery in Kentucky. His current practice location is
1802 Rockingham Ave, Bowling Green. Patients can reach him at
270-783-0064.
Dr. Shane Anthony Williams is specialized in that branch of dentistry and pathology which deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations.
Complete Profile:
Dr. Shane Anthony Williams speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Dr. Shane Anthony Williams |
| Specialization: | Oral and Maxillofacial Pathologist |
| Gender: | Male |
| Credentials: | D.M.D. |
| Experience: | 17+ years |
| Medical School Attended: | University Of Louisville School Of Medicine |
| Graduation Year: | 2008 |
| Accepts Medicare Assignment: | May Accept |
| Practice Address: | 1802 Rockingham Ave, Bowling Green,
Kentucky, 42104-3348 |
| Phone: | 270-783-0064 |
| Fax: | 270-901-1997 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 1153699475 |
| Enrollment ID: | I20170609000990 |
| NPI Number: | 1437315272 |
| NPI Enumeration Date: | 31 Jul, 2008 |
| NPI Last Update On: | 21 Jul, 2022 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Shane Anthony Williams are as mentioned below.
| License Number | Specialization | State | Status | |
| 9943 | Oral and Maxillofacial Surgery | Kentucky | Primary | |
| 9943 | Oral and Maxillofacial Pathology | Kentucky | Secondary | |
| 332 | Oral and Maxillofacial Surgery | Oklahoma | Secondary | |
| 9422 | Oral and Maxillofacial Surgery | Tennessee | Secondary | |
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Shane Anthony Williams is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Southern Kentucky Oral Surgery Associates, Pllc (5193776425) | 4 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Shane Anthony Williams such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1528342 | Medicaid | Tennessee | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1938 Lyda Avenue,
Bowling Green, Kentucky |
| Zip: | 42104 |
| Phone Number: | 270-783-0064 |
| Fax Number: | 270-901-1997 |
Patients can reach Dr. Shane Anthony Williams at
1802 Rockingham Ave, Bowling Green, Kentucky or can
call to book an appointment on 270-783-0064.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.