William Chen, DMD
Individual provider Active NPI General Practice Dentistry · Avon Park, FL
NPI 1659580355 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1659580355
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- DN15635 (FL)
- Practice address
- 2356 Hartford Dr
Avon Park, FL 33825-9523 - Phone
- (863) 452-2049
- NPI assigned
- May 21, 2007
- 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 |
|---|---|---|---|
| DN15635 | FL | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN15635 | FL | Yes |
Addresses
Primary practice location
2356 Hartford Dr
Avon Park, FL 33825-9523
Mailing address
2356 Hartford Dr
Avon Park, FL 33825-9523
Other providers in Avon Park, FL
- Central Florida Health Care, Inc.
- Central Florida Health Care, Inc.
- Central Florida Health Care, Inc.
- Central Florida Health Care, Inc.
- Amina P Chatha
- Choices Counseling Services LLC
- Makayla Ciavardone
- Penney Cobb
- Sarah Ellen Cody
- Comprehensive Physical Therapy Care
All providers in Avon Park, FL · General Practice Dentistry in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.