| William C Bigelow, D.d.s., Pc | |
|
110 Mactanly Pl Ste C Staunton VA 24401-2362 | |
| (540) 213-8750 | |
| (540) 213-8753 |
| Full Name | William C Bigelow, D.d.s., Pc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 110 Mactanly Pl Ste C, Staunton, Virginia |
| Authorized Official Name and Position | William C Bigelow (OWNER) |
| Authorized Official Contact | 5402138750 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| William C Bigelow, D.d.s., Pc 110 Mactanly Pl Ste C Staunton VA 24401-2362 Ph: (540) 213-8750 | William C Bigelow, D.d.s., Pc 110 Mactanly Pl Ste C Staunton VA 24401-2362 Ph: (540) 213-8750 |
| NPI Number | 1235453457 |
|---|---|
| Provider Enumeration Date | 03/17/2010 |
| Last Update Date | 03/17/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235453457 | NPI | - | NPPES |
| 1998563 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 0438000074 (Virginia) | Primary |
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