Healthcare Provider Details

I. General information

NPI: 1316693104
Provider Name (Legal Business Name): WILLIAM L. TURNER IV, DMD, MS, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/01/2022
Last Update Date: 03/02/2022
Certification Date: 03/02/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2104 SMALLWOOD DR
RALEIGH NC
27605-1320
US

IV. Provider business mailing address

4801 GLEN CREEK TRL
GARNER NC
27529-7178
US

V. Phone/Fax

Practice location:
  • Phone: 919-821-2154
  • Fax:
Mailing address:
  • Phone: 919-610-7838
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. WILLIAM LINDSAY TURNER IV
Title or Position: OWNER
Credential: DMD
Phone: 919-610-7838