William F. Plack, D.D.S., M.A.G.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10808 Issued in MD

Practice address

303 N Washington St
Snow Hill, MD 21863-1055

Phone

(410) 632-2551

Fax

(410) 632-2561

NPI assigned

Jul 17, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972520492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5A MALLARD DR E",
            "city": "OCEAN PINES",
            "state": "MD",
            "postal_code": "218111748",
            "telephone_number": "410-641-8344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 N WASHINGTON ST",
            "city": "SNOW HILL",
            "state": "MD",
            "postal_code": "218631055",
            "telephone_number": "410-632-2551",
            "fax_number": "410-632-2561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLACK",
        "first_name": "WILLIAM",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.A.G.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "10808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John P. Pesaniello, LCADC
• Kimberly Hogan Pesaniello, M.D.
• Phirst Physical Therapy Inc
• Phirst Physical Therapy Inc
• Kimberly S. Pizza, CSC
• Allyson Rose Possident, BSW
• Christina Johnson Purcell, LCSW-C
• Krasimira Purnell
• Kuronda Victoria Purnell
• David Lawrence Pytlewski, MD

• General Practice Dentistry in Snow Hill, MD
• Providers in Snow Hill, MD by specialty
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.