William Ashley Moorman, DMD
Individual provider Active NPI General Practice Dentistry · Valdosta, GA
NPI 1831236181 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1831236181
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 11637 (GA)
- Practice address
- Advanced Dental Care
3211 Wildwood Plantation Drive
Valdosta, GA 31605 - Phone
- (229) 242-4441
- Fax
- (229) 242-4471
- NPI assigned
- Jan 30, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Dental Care | General Practice | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 11637 | GA | Yes |
Addresses
Primary practice location
Advanced Dental Care
3211 Wildwood Plantation Drive
Valdosta, GA 31605
Mailing address
Advanced Dental Care
3211 Wildwood Plantation Drive
Valdosta, GA 31605
Phone (229) 242-4441
Other providers in Valdosta, GA
- Kaitlyn E. Moore
- Katlyn Nicole Moore
- Steven C Moore
- Temetia Moore
- J. Ryan Moorman
- Julio Cesar Morciego
- More Than Words Pediatric Therapy Asso., Inc.
- Hernando Moreno
- Douglas Ted Morgan
- Ene Grace Morgan
All providers in Valdosta, GA · General Practice Dentistry in Georgia
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.