Provider Demographics
NPI:1043227341
Name:LENIHAN, WILLIAM S III (DDS)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:S
Last Name:LENIHAN
Suffix:III
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 LABORATORY RD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:OAK RIDGE
Mailing Address - State:TN
Mailing Address - Zip Code:37830-6810
Mailing Address - Country:US
Mailing Address - Phone:865-482-1731
Mailing Address - Fax:
Practice Address - Street 1:400 LABORATORY RD
Practice Address - Street 2:SUITE 104
Practice Address - City:OAK RIDGE
Practice Address - State:TN
Practice Address - Zip Code:37830-6810
Practice Address - Country:US
Practice Address - Phone:865-482-1731
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDS 0031541223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice