MEDICARE: DR. WILLIAM KARL URSCHEL D.M.D.

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	14386	FL

General Provider Information

NPI Number	:	1396759841
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM KARL URSCHEL D.M.D.

Provider Business Mailing Address
First Line	:	836 SUNSET LAKE BLVD
Second Line	:	SUITE 202
City	:	VENICE
State	:	FL
Zip	:	34292-7554
Country	:	US
Telephone Number	:	941-492-2967
Fax Number	:	941-492-2994

Provider Business Practice Location Address
First Line	:	836 SUNSET LAKE BLVD
Second Line	:	SUITE 202
City	:	VENICE
State	:	FL
Zip	:	34292-7554
Country	:	US
Telephone Number	:	941-492-2967
Fax Number	:	941-492-2994

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

Provider Enumeration Date	:	07/28/2006
Last Update Date	:	07/08/2007

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