MEDICARE: DR. WILLIAM J TONNE DDS

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	19-14419	IL

General Provider Information

NPI Number	:	1447258355
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM J TONNE DDS

Provider Business Mailing Address
First Line	:	PO BOX 262
Second Line	:
City	:	SAVANNA
State	:	IL
Zip	:	61074-0262
Country	:	US
Telephone Number	:	815-273-2212
Fax Number	:	815-273-2218

Provider Business Practice Location Address
First Line	:	401 MAIN ST
Second Line	:
City	:	SAVANNA
State	:	IL
Zip	:	61074-1535
Country	:	US
Telephone Number	:	815-273-2212
Fax Number	:	815-273-2218

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

Provider Enumeration Date	:	07/13/2005
Last Update Date	:	07/08/2007

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