Healthcare Provider Details

I. General information

NPI: 1861434383
Provider Name (Legal Business Name): WILLIAM L. HAND III DDS PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

218B S FRONT ST
NEW BERN NC
28560-2136
US

IV. Provider business mailing address

218B S FRONT ST
NEW BERN NC
28560-2136
US

V. Phone/Fax

Practice location:
  • Phone: 252-638-8000
  • Fax: 252-637-5805
Mailing address:
  • Phone: 252-638-8000
  • Fax: 252-637-5805

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number1419
License Number StateNC

VIII. Authorized Official

Name: DR. WILLIAM LUTHER HAND III
Title or Position: PRESIDENT/DENTIST
Credential: DDS
Phone: 252-638-8000