Provider Demographics
NPI:1437501079
Name:ALVAREZ, WILLIAM (MD,DMD)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:
Last Name:ALVAREZ
Suffix:
Gender:M
Credentials:MD,DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5531 N UNIVERSITY DR STE 104
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33067-4649
Mailing Address - Country:US
Mailing Address - Phone:954-323-2600
Mailing Address - Fax:313-228-0283
Practice Address - Street 1:3251 NW FEDERAL HWY
Practice Address - Street 2:
Practice Address - City:JENSEN BEACH
Practice Address - State:FL
Practice Address - Zip Code:34957-4457
Practice Address - Country:US
Practice Address - Phone:954-358-4260
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-07
Last Update Date:2025-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4351052050208600000X
FLDN30870204E00000X
MADN18575071223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Yes204E00000XAllopathic & Osteopathic PhysiciansOral & Maxillofacial Surgery