Provider Demographics
NPI:1093904591
Name:HUTCHINSON, WILLIAM WINSLOW (DDS)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:WINSLOW
Last Name:HUTCHINSON
Suffix:
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 1:848 COLLIER CT
Mailing Address - Street 2:402
Mailing Address - City:MARCO ISLAND
Mailing Address - State:FL
Mailing Address - Zip Code:34145-6570
Mailing Address - Country:US
Mailing Address - Phone:239-394-1155
Mailing Address - Fax:239-394-1155
Practice Address - Street 1:848 COLLIER CT
Practice Address - Street 2:402
Practice Address - City:MARCO ISLAND
Practice Address - State:FL
Practice Address - Zip Code:34145-6570
Practice Address - Country:US
Practice Address - Phone:239-394-1155
Practice Address - Fax:239-394-1155
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-20
Last Update Date:2007-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN 33421223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice