Provider Demographics
NPI:1376103572
Name:WILLIAM J TWOHIG DDS LLC
Entity Type:Organization
Organization Name:WILLIAM J TWOHIG DDS LLC
Other - Org Name:DR. WILLIAM J. TWOHIG DDS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:TWOHIG
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:920-867-3101
Mailing Address - Street 1:PO BOX 579
Mailing Address - Street 2:
Mailing Address - City:WEYAUWEGA
Mailing Address - State:WI
Mailing Address - Zip Code:54983-0579
Mailing Address - Country:US
Mailing Address - Phone:920-867-3101
Mailing Address - Fax:920-867-3101
Practice Address - Street 1:417 E ANN ST
Practice Address - Street 2:
Practice Address - City:WEYAUWEGA
Practice Address - State:WI
Practice Address - Zip Code:54983-8532
Practice Address - Country:US
Practice Address - Phone:920-867-3101
Practice Address - Fax:920-867-3108
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-19
Last Update Date:2022-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Single Specialty