William J Hentze, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

019014578 Issued in IL

Practice address

17 Junction Dr
Glen Carbon, IL 62034-2996

Phone

(618) 304-1122

NPI assigned

Apr 28, 2008

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Kellerman Dental

  • Dentist
  • Glen Carbon, IL
  • NPI 1215102579
  NPD (past)
• Kellerman Dental Group, PC

  • Customized Equipment (DME)
  • Glen Carbon, IL
  • NPI 1538543582
  NPD (past)

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

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604016000000",
    "number": "1437324696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 JUNCTION DR",
            "city": "GLEN CARBON",
            "state": "IL",
            "postal_code": "620344300",
            "telephone_number": "618-304-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 JUNCTION DR",
            "city": "GLEN CARBON",
            "state": "IL",
            "postal_code": "620342996",
            "telephone_number": "618-304-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENTZE",
        "first_name": "WILLIAM",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-28",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019014578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "108441",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Frederick Hatton, DMD
• Health Ventures of Southern Illinois Inc
• Heartland Rural Healthcare, LLC
• Vickie Marie Hendricks, PHD
• Cheryl L. Hennig, PSY.D.
• David Brian Herman, M.D.
• Eric C Hess
• Taylor Elizabeth Higgins, MS, CF-SLP
• Faith Nicole Hoelscher, RBT
• Jim Hong, MD

• Dentist in Glen Carbon, IL
• Providers in Glen Carbon, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.