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NPI Code Detail

MEDICARE: DR. WILLIAM DAVID GOVER DMD

MEDICARE: DR. WILLIAM DAVID GOVER DMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist6934NC

General Provider Information

NPI Number : 1053448902
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WILLIAM DAVID GOVER DMD
Provider Business Mailing Address
First Line : 3709 WILLIAM J COWAN WYND
Second Line :
City : RALEIGH
State : NC
Zip : 27612-5399
Country : US
Telephone Number : 919-781-5163
Fax Number :
Provider Business Practice Location Address
First Line : 2310 MYRON DR
Second Line :
City : RALEIGH
State : NC
Zip : 27607-3358
Country : US
Telephone Number : 919-782-9516
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2007
Last Update Date : 07/08/2007

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Directions to “ DR. WILLIAM DAVID GOVER DMD” Practice Location

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