Healthcare Provider Details

I. General information

NPI: 1417166760
Provider Name (Legal Business Name): WILLIAM S. COLLIER, DMD, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 CHURCH ST
ALLENTOWN NJ
08501-0176
US

IV. Provider business mailing address

30 CHURCH ST 30 CHURCH ST
ALLENTOWN NJ
08501-0176
US

V. Phone/Fax

Practice location:
  • Phone: 609-259-2283
  • Fax: 609-259-2843
Mailing address:
  • Phone: 609-259-2283
  • Fax: 609-259-2843

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number22DI01001900
License Number StateNJ

VIII. Authorized Official

Name: DR. WILLIAM COLLIER
Title or Position: PRESIDENT
Credential: DMD
Phone: 609-259-2283