| Dr William Richard Knoderer, MD, DDS | |
|
2014 S Goliad St, Ste 122, Rockwall, TX 75087-4863 | |
| (972) 722-5596 | |
| (469) 698-9804 |
| Full Name | Dr William Richard Knoderer |
|---|---|
| Gender | Male |
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 2014 S Goliad St, Rockwall, Texas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649212168 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208VP0000X | Pain Medicine - Pain Medicine | 7885 (Texas) | Secondary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 11461 (Texas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr William Richard Knoderer, MD, DDS Po Box 222, Caddo Mills, TX 75135-0222 Ph: (972) 772-5596 | Dr William Richard Knoderer, MD, DDS 2014 S Goliad St, Ste 122, Rockwall, TX 75087-4863 Ph: (972) 722-5596 |