William E Poole III, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS035154 Issued in PA

Practice address

21 East Main St
Leola, PA 17540

Phone

(717) 656-2586

Fax

(717) 656-9504

NPI assigned

Oct 2, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• William E Poole DDS PC

  • Dentist
  • Leola, PA
  • NPI 1891967311
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184717100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 160",
            "address_2": "21 EAST MAIN ST",
            "city": "LEOLA",
            "state": "PA",
            "postal_code": "17540",
            "telephone_number": "717-656-2586",
            "fax_number": "717-656-9504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 EAST MAIN ST",
            "city": "LEOLA",
            "state": "PA",
            "postal_code": "17540",
            "telephone_number": "717-656-2586",
            "fax_number": "717-656-9504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POOLE",
        "first_name": "WILLIAM",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS035154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melody J Peck, LCT, SDNM
• Pennsylvania Dental Partners, LLC
• Donquet Pernsley
• Physicians Dialysis of Lancaster, LLC (Leola Dialysis)
• Dietmar Pilz, D.D.S.
• Devon Powell, LPC
• Monae S Rector, MSN-ED, RN, PMHNP-BC
• Meghan Reeves, MD
• Henry L Renn, LMFT
• Richard H. Niemeyer (leola family health center)

• General Practice Dentistry in Leola, PA
• Providers in Leola, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.