Provider Demographics
NPI:1134295561
Name:SALLING, WILLIAM H JR (DDS)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:H
Last Name:SALLING
Suffix:JR
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:BILLY
Other - Middle Name:H
Other - Last Name:SALLING
Other - Suffix:JR
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:2002 EASTWOOD ROAD
Mailing Address - Street 2:STE 105
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28403
Mailing Address - Country:US
Mailing Address - Phone:910-233-0374
Mailing Address - Fax:910-256-2463
Practice Address - Street 1:2002 EASTWOOD RD
Practice Address - Street 2:STE 105
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28403
Practice Address - Country:US
Practice Address - Phone:910-256-9040
Practice Address - Fax:910-256-2463
Is Sole Proprietor?:No
Enumeration Date:2006-11-28
Last Update Date:2019-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC33931223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
27865OtherUNITED CONCORDIA
NC97551Medicaid
NC97551OtherBCBS