Provider Demographics
NPI:1346361185
Name:MILLAY, WILLIAM R III (DMD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:R
Last Name:MILLAY
Suffix:III
Gender:M
Credentials:DMD
Other - Prefix:
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Mailing Address - Street 1:1410 PRIDE AVE
Mailing Address - Street 2:
Mailing Address - City:MADISONVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:42431-9107
Mailing Address - Country:US
Mailing Address - Phone:270-821-0123
Mailing Address - Fax:270-825-1596
Practice Address - Street 1:1410 PRIDE AVE
Practice Address - Street 2:
Practice Address - City:MADISONVILLE
Practice Address - State:KY
Practice Address - Zip Code:42431-9107
Practice Address - Country:US
Practice Address - Phone:270-821-0123
Practice Address - Fax:270-825-1596
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-02
Last Update Date:2020-04-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KY78771223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics