Provider Demographics
NPI:1225241243
Name:PATTON, WILLIAM (DDS, MS)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:
Last Name:PATTON
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:BILL
Other - Middle Name:
Other - Last Name:PATTON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS, MS
Mailing Address - Street 1:3217 WILLOWOOD CIRCLE
Mailing Address - Street 2:
Mailing Address - City:MANHATTAN
Mailing Address - State:KS
Mailing Address - Zip Code:66502
Mailing Address - Country:US
Mailing Address - Phone:785-776-6525
Mailing Address - Fax:
Practice Address - Street 1:1133 COLLEGE AVENUE
Practice Address - Street 2:BUILDING D, SUITE 110
Practice Address - City:MANHATTAN
Practice Address - State:KS
Practice Address - Zip Code:66502
Practice Address - Country:US
Practice Address - Phone:785-770-3300
Practice Address - Fax:785-770-3941
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS57591223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics