MEDICARE: DR. WILLIAM REESE COLE 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	36571	TX

General Provider Information

NPI Number	:	1912525023
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM REESE COLE DDS

Provider Business Mailing Address
First Line	:	4017 VICTORY DR APT 205
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78704-7539
Country	:	US
Telephone Number	:	601-955-3258
Fax Number	:

Provider Business Practice Location Address
First Line	:	2830 TOWN CENTER DR STE 120
Second Line	:
City	:	NEW BRAUNFELS
State	:	TX
Zip	:	78130-2135
Country	:	US
Telephone Number	:	830-730-4072
Fax Number	:

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

Provider Enumeration Date	:	07/06/2020
Last Update Date	:	08/17/2020

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Directions to “ DR. WILLIAM REESE COLE DDS” Practice Location

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