Healthcare Provider Details

I. General information

NPI: 1619139508
Provider Name (Legal Business Name): WILLIAM MICHAEL DUENSING DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2008
Last Update Date: 07/01/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

MCRD-DENTAL BLDG 674
PARRIS ISLAND SC
29905
US

IV. Provider business mailing address

PO BOX 19701 NAVAL BRANCH HEALTH CLINIC-DENTAL
FPO AA
29905
US

V. Phone/Fax

Practice location:
  • Phone: 843-228-3500
  • Fax:
Mailing address:
  • Phone: 843-228-3500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number2008014725
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: