Organization Active NPI

William T Prosser Jr DDS PC

  • General Practice Dentistry
  • Troy, MO
National Provider Identifier
1811069867
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
013245 Issued in MO
Legal business name
WILLIAM T PROSSER JR DDS PC
Practice address
8 The Plaza
Troy, MO 63379
Phone
(636) 528-2572
Fax
(636) 528-7982
NPI assigned
Nov 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. William Thomas Prosser Jr., DDS
Title
Dentist Owner
Phone
(636) 528-2572

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 013245 MO Primary

Addresses

Primary practice location

8 The Plaza
Troy, MO 63379

Mailing address

8 The Plaza
Troy, MO 63379
Phone (636) 528-2572

National Provider Directory

National Provider Directory

Locations

8 The Plaza
Troy, MO 63379
Phone (636) 443-6639

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811069867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 THE PLAZA",
            "city": "TROY",
            "state": "MO",
            "postal_code": "63379",
            "telephone_number": "636-528-2572",
            "fax_number": "636-528-7982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 THE PLAZA",
            "city": "TROY",
            "state": "MO",
            "postal_code": "63379",
            "telephone_number": "636-528-2572",
            "fax_number": "636-528-7982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM T PROSSER JR DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PROSSER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "636-528-2572",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "013245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.