Provider Demographics
NPI:1457466062
Name:TUMAN, WILLIAM MICHAEL (DMD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:MICHAEL
Last Name:TUMAN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:W.
Other - Middle Name:MICHAEL
Other - Last Name:TUMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DMD
Mailing Address - Street 1:7111 LINCOLN DRIVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19119-2435
Mailing Address - Country:US
Mailing Address - Phone:215-247-1284
Mailing Address - Fax:215-247-1720
Practice Address - Street 1:7111 LINCOLN DRIVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19119-2435
Practice Address - Country:US
Practice Address - Phone:215-247-1284
Practice Address - Fax:215-247-1720
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2016-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS021181L1223G0001X
PA21181122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist