Provider Demographics
NPI:1437379666
Name:WILLIAM H WILEY DDS INC
Entity Type:Organization
Organization Name:WILLIAM H WILEY DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:H
Authorized Official - Last Name:WILEY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:419-586-4738
Mailing Address - Street 1:PO BOX 299
Mailing Address - Street 2:405 MYERS RD
Mailing Address - City:CELINA
Mailing Address - State:OH
Mailing Address - Zip Code:45822
Mailing Address - Country:US
Mailing Address - Phone:419-586-4738
Mailing Address - Fax:419-586-5222
Practice Address - Street 1:405 MYERS RD
Practice Address - Street 2:
Practice Address - City:CELINA
Practice Address - State:OH
Practice Address - Zip Code:45822
Practice Address - Country:US
Practice Address - Phone:419-586-4738
Practice Address - Fax:419-586-5222
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH12801122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty