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NPI Code Detail

MEDICARE: DR. WILLIAM COLLINS DONOVAN DMD

MEDICARE: DR. WILLIAM COLLINS DONOVAN DMD
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
11223G0001XGeneral Practice DentistryDN013739GA
21223G0001XGeneral Practice DentistryDGD 7111SC

General Provider Information

NPI Number : 1851555635
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WILLIAM COLLINS DONOVAN DMD
Provider Business Mailing Address
First Line : 65 SAMS POINT RD
Second Line :
City : BEAUFORT
State : SC
Zip : 29907-2010
Country : US
Telephone Number : 706-231-4092
Fax Number :
Provider Business Practice Location Address
First Line : 65 SAMS POINT RD
Second Line :
City : BEAUFORT
State : SC
Zip : 29907-2010
Country : US
Telephone Number : 706-231-4092
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2008
Last Update Date : 03/20/2013

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