MEDICARE: DR. WILLIAM BELL MCLAIRD DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	20577	TX

General Provider Information

NPI Number	:	1689692741
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM BELL MCLAIRD DDS

Provider Business Mailing Address
First Line	:	6200 SARATOGA BLVD
Second Line	:
City	:	CORPUS CHRISTI
State	:	TX
Zip	:	78414-3421
Country	:	US
Telephone Number	:	361-992-9500
Fax Number	:	361-992-1862

Provider Business Practice Location Address
First Line	:	6200 SARATOGA BLVD
Second Line	:
City	:	CORPUS CHRISTI
State	:	TX
Zip	:	78414-3421
Country	:	US
Telephone Number	:	361-992-9500
Fax Number	:	361-992-1862

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/17/2006
Last Update Date	:	07/08/2007

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