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NPI Code Detail

MEDICARE: DR. WILLIAM H. DELLINGER JR.

MEDICARE: DR. WILLIAM H. DELLINGER JR.
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
1122300000XDentist

General Provider Information

NPI Number : 1275924771
Entity Type Code : Organization
Provider Name (Legal Business Name) : DR. WILLIAM H. DELLINGER JR.
Provider Business Mailing Address
First Line : 97 ATLANTA ST
Second Line : SUITE 200
City : MCDONOUGH
State : GA
Zip : 30253-2192
Country : US
Telephone Number : 770-954-1180
Fax Number :
Provider Business Practice Location Address
First Line : 97 ATLANTA ST
Second Line : SUITE 200
City : MCDONOUGH
State : GA
Zip : 30253-2192
Country : US
Telephone Number : 770-954-1180
Fax Number :
Authorized Official
Title or Position : OFFICE MANAGER
Name : ANN M. RAUDONIS
Credential :
Telephone Number : 770-954-1180
Provider Enumeration Date : 02/05/2015
Last Update Date : 02/05/2015

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Directions to “DR. WILLIAM H. DELLINGER JR. ” Practice Location

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