Provider Demographics
NPI:1346312071
Name:WILLIAM B. WEBSTER, JR., DDS, PC
Entity Type:Organization
Organization Name:WILLIAM B. WEBSTER, JR., DDS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LEE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:WEBSTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-418-1929
Mailing Address - Street 1:1225 JOHNSON FERRY RD
Mailing Address - Street 2:SUITE 760
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30068-2727
Mailing Address - Country:US
Mailing Address - Phone:770-971-5375
Mailing Address - Fax:770-971-7926
Practice Address - Street 1:1225 JOHNSON FERRY RD
Practice Address - Street 2:SUITE 760
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30068-2727
Practice Address - Country:US
Practice Address - Phone:770-971-5375
Practice Address - Fax:770-971-7926
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA91201223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0300XDental ProvidersDentistPeriodonticsGroup - Single Specialty