Provider Demographics
NPI:1467545673
Name:STEARNS, WILLIAMS G (DDS)
Entity Type:Individual
Prefix:
First Name:WILLIAMS
Middle Name:G
Last Name:STEARNS
Suffix:
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 1:100 4TH STR S
Mailing Address - Street 2:SUITE 304
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58103
Mailing Address - Country:US
Mailing Address - Phone:701-235-6075
Mailing Address - Fax:701-235-6075
Practice Address - Street 1:100 4TH STR S
Practice Address - Street 2:SUITE 304
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58103
Practice Address - Country:US
Practice Address - Phone:701-235-6075
Practice Address - Fax:701-235-0140
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND17791223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice