MEDICARE: DR. WILLIAM MORRIS THORSELL JR. 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	122300000X	Dentist	5988	TX

General Provider Information

NPI Number	:	1598963399
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM MORRIS THORSELL JR. DDS

Provider Business Mailing Address
First Line	:	1011 AUGUSTA DRIVE
Second Line	:	SUITE #200
City	:	HOUSTON
State	:	TX
Zip	:	77057-2062
Country	:	US
Telephone Number	:	713-783-6383
Fax Number	:	713-783-9606

Provider Business Practice Location Address
First Line	:	1011 AUGUSTA
Second Line	:	SUITE 200
City	:	HOUSTON
State	:	TX
Zip	:	77057-2062
Country	:	US
Telephone Number	:	713-783-6383
Fax Number	:	713-783-9606

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

Provider Enumeration Date	:	07/03/2007
Last Update Date	:	07/08/2007

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Directions to “ DR. WILLIAM MORRIS THORSELL JR. DDS” Practice Location

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