Provider Demographics
NPI:1073679015
Name:COLLIER, WILLIAM JENELL II (DDS)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:JENELL
Last Name:COLLIER
Suffix:II
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 210042
Mailing Address - Street 2:
Mailing Address - City:AUKE BAY
Mailing Address - State:AK
Mailing Address - Zip Code:99821-0042
Mailing Address - Country:US
Mailing Address - Phone:907-789-1295
Mailing Address - Fax:907-789-7000
Practice Address - Street 1:8505 OLD DAIRY RD
Practice Address - Street 2:SUITE 201
Practice Address - City:JUNEAU
Practice Address - State:AK
Practice Address - Zip Code:99801-8042
Practice Address - Country:US
Practice Address - Phone:907-789-1295
Practice Address - Fax:907-789-7000
Is Sole Proprietor?:No
Enumeration Date:2006-12-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AKAA05861223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice