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NPI Code Detail

MEDICARE: DR. WILLIAM B. KLAUSMEYER D.D.S.

MEDICARE: DR. WILLIAM B. KLAUSMEYER D.D.S.
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
11223G0001XGeneral Practice Dentistry10325FL
21223G0001XGeneral Practice Dentistry014019GA
31223G0001XGeneral Practice Dentistry13767MI

General Provider Information

NPI Number : 1134254808
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WILLIAM B. KLAUSMEYER D.D.S.
Provider Business Mailing Address
First Line : 2969 JOHNSON FERRY RD
Second Line :
City : MARIETTA
State : GA
Zip : 30062-5653
Country : US
Telephone Number : 770-992-2340
Fax Number :
Provider Business Practice Location Address
First Line : 2969 JOHNSON FERRY RD
Second Line :
City : MARIETTA
State : GA
Zip : 30062-5653
Country : US
Telephone Number : 770-992-2340
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/22/2007
Last Update Date : 12/21/2010

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Directions to “ DR. WILLIAM B. KLAUSMEYER D.D.S.” Practice Location

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