Provider Demographics
NPI:1235258708
Name:SELLERS, WILLIAM SCOTT (DMD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:SCOTT
Last Name:SELLERS
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5471 BELLS FERRY RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:ACWORTH
Mailing Address - State:GA
Mailing Address - Zip Code:30102-7542
Mailing Address - Country:US
Mailing Address - Phone:770-928-7243
Mailing Address - Fax:770-591-8800
Practice Address - Street 1:5471 BELLS FERRY RD
Practice Address - Street 2:SUITE 200
Practice Address - City:ACWORTH
Practice Address - State:GA
Practice Address - Zip Code:30102-7542
Practice Address - Country:US
Practice Address - Phone:770-928-7243
Practice Address - Fax:770-591-8800
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA10423122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist