Healthcare Provider Details

I. General information

NPI: 1942334305
Provider Name (Legal Business Name): WILLIAM FRANCES DODSON DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/15/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24551 SILVER CLOUD CT SUITE 202
MONTEREY CA
93940-6536
US

IV. Provider business mailing address

24551 SILVER CLOUD CT SUITE 202
MONTEREY CA
93940-6536
US

V. Phone/Fax

Practice location:
  • Phone: 831-649-1982
  • Fax: 831-649-3287
Mailing address:
  • Phone: 831-649-1982
  • Fax: 831-649-3287

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0700X
TaxonomyProsthodontics
License Number24970
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: