William J. Twohig, D.D.S.
Individual provider Active NPI General Practice Dentistry · Weyauwega, WI
NPI 1275536161 · NPPES record last updated Jun 19, 2019
Key facts
- NPI
- 1275536161
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 5001630 (WI)
- Practice address
- 417 E Ann St
Weyauwega, WI 54983-8532 - Phone
- (920) 867-3101
- Fax
- (920) 867-3108
- NPI assigned
- May 24, 2005
- 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)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5001630 | WI | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 5001630 | WI | Yes |
Addresses
Primary practice location
417 E Ann St
Weyauwega, WI 54983-8532
Mailing address
PO Box 579
Weyauwega, WI 54983-0579
Phone (920) 867-3101
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33562400 | Medicaid | WI | |
| 898039 | Other | WI | UNITED CONCORDIA PROVIDER |
Other providers in Weyauwega, WI
- Hope Marie Oshefsky
- Deann Marie Paprocki
- Mirissa Lee Roemer
- Tammi Ann Schellin
- Mary Alice Shofner
- Jena Vonfeldt
- Waupaca Area Ambulance, LTD.
- Cynthia May Wendt
- Weyauwega-Fremont School District
- Todd William Wild
All providers in Weyauwega, WI · General Practice Dentistry in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 19, 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.