William A Whitworth
Individual provider Active NPI General Practice Dentistry · Junction, TX
NPI 1265086276 · NPPES record last updated Jul 29, 2019
Key facts
- NPI
- 1265086276
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 35572 (TX)
- Practice address
- 701 College St
Junction, TX 76849-4626 - Phone
- (325) 446-2581
- NPI assigned
- Jul 29, 2019
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35572 | TX | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 35572 | TX | Yes |
Addresses
Primary practice location
701 College St
Junction, TX 76849-4626
Mailing address
PO Box 1
Junction, TX 76849-0001
Other providers in Junction, TX
- SLC Nutrition LLC
- Stratford Hospital District D/B/a Hill Country Care Center
- David B Udall
- Vista Pharmacy, Inc
- Barbara Ellen Whitworth
- Madalyn Wimberley
All providers in Junction, TX · General Practice Dentistry in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 29, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.