Provider Demographics
NPI:1437234846
Name:ROSSMAN, WILLIAM BYRON JR (DDS)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:BYRON
Last Name:ROSSMAN
Suffix:JR
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:88190 OVERSEAS HWY
Mailing Address - Street 2:SUITE 103
Mailing Address - City:ISLAMORADA
Mailing Address - State:FL
Mailing Address - Zip Code:33036
Mailing Address - Country:US
Mailing Address - Phone:305-664-4282
Mailing Address - Fax:305-664-0694
Practice Address - Street 1:88190 OVERSEAS HWY
Practice Address - Street 2:SUITE 103
Practice Address - City:ISLAMORADA
Practice Address - State:FL
Practice Address - Zip Code:33036
Practice Address - Country:US
Practice Address - Phone:305-664-4282
Practice Address - Fax:305-664-0694
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL4957122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLFL 4957OtherDENTAL LICENSE NUMBER