MEDICARE: DR. WILLIAM FIORE 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	122300000X	Dentist	25783	TX

General Provider Information

NPI Number	:	1861706012
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM FIORE DMD

Provider Business Mailing Address
First Line	:	1271 S LOLA LN
Second Line	:
City	:	TEMPE
State	:	AZ
Zip	:	85281-4838
Country	:	US
Telephone Number	:	623-326-6837
Fax Number	:

Provider Business Practice Location Address
First Line	:	2246 JACKSBORO HWY STE 122
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76114-2363
Country	:	US
Telephone Number	:	817-529-1799
Fax Number	:

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

Provider Enumeration Date	:	07/29/2010
Last Update Date	:	07/29/2010

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Directions to “ DR. WILLIAM FIORE DMD” Practice Location

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