Provider Demographics
NPI:1417166760
Name:WILLIAM S. COLLIER, DMD, PA
Entity Type:Organization
Organization Name:WILLIAM S. COLLIER, DMD, PA
Other - Org Name:WILLIAM S. COLLIER, DMD, PA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:COLLIER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:609-259-2283
Mailing Address - Street 1:30 CHURCH ST
Mailing Address - Street 2:30 CHURCH ST
Mailing Address - City:ALLENTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08501-0176
Mailing Address - Country:US
Mailing Address - Phone:609-259-2283
Mailing Address - Fax:609-259-2843
Practice Address - Street 1:30 CHURCH ST
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08501-0176
Practice Address - Country:US
Practice Address - Phone:609-259-2283
Practice Address - Fax:609-259-2843
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI01001900122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty