MEDICARE: WILLIAM G KOENTZ 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
1	1223G0001X	General Practice Dentistry	019018844	IL

General Provider Information

NPI Number	:	1164442224
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM G KOENTZ DMD

Provider Business Mailing Address
First Line	:	9 N 1ST ST
Second Line	:
City	:	NEW BADEN
State	:	IL
Zip	:	62265-1326
Country	:	US
Telephone Number	:	618-588-3592
Fax Number	:	618-588-2095

Provider Business Practice Location Address
First Line	:	9 N 1ST ST
Second Line	:
City	:	NEW BADEN
State	:	IL
Zip	:	62265-1326
Country	:	US
Telephone Number	:	618-588-3592
Fax Number	:	618-588-2095

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/20/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1932103348 — MRS. MICHELLE KUJAWA PT
Practice Location Address:

211 E HANOVER ST
NEW BADEN, IL
62265-1811

Practice Phone: 618-588-4000
Practice Fax: 618-588-4800

1417953613 — DR. PAMELA J ROUT DC
Practice Location Address:

701 E HANOVER ST
NEW BADEN, IL
62265-1908

Practice Phone: 618-588-4976
Practice Fax: 618-588-4926

1013913227 — DR. ROBERT DOUGLAS DENT D.C.
Practice Location Address:

701 E HANOVER ST
NEW BADEN, IL
62265-1908

Practice Phone: 618-588-4976
Practice Fax: 618-588-4926

1174518278 — SOUTHERN ILLINOIS LIVING CENTERS INC.
Practice Location Address:

111 E ILLINOIS ST
NEW BADEN, IL
62265-1850

Practice Phone: 618-588-4924
Practice Fax: 618-588-4673

1629058102 — DR. ROBERT T. FARMER M.D.
Practice Location Address:

211 E HANOVER ST
NEW BADEN, IL
62265-1811

Practice Phone: 618-588-2900
Practice Fax: 618-588-2904

1497817381 — KY FOUR INC
Practice Location Address:

450 W HANOVER ST
NEW BADEN, IL
62265-1658

Practice Phone: 618-588-3517
Practice Fax: 618-588-4818

Directions to “ WILLIAM G KOENTZ DMD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.