Provider Demographics
NPI:1467608489
Name:PRITZ, WILLIAM D (DMD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:D
Last Name:PRITZ
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SOUTH BOUND BROOK
Mailing Address - State:NJ
Mailing Address - Zip Code:08880-1501
Mailing Address - Country:US
Mailing Address - Phone:732-356-8556
Mailing Address - Fax:732-356-3484
Practice Address - Street 1:120 MAIN ST
Practice Address - Street 2:
Practice Address - City:SOUTH BOUND BROOK
Practice Address - State:NJ
Practice Address - Zip Code:08880-1501
Practice Address - Country:US
Practice Address - Phone:732-356-8556
Practice Address - Fax:732-356-3484
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-10
Last Update Date:2008-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22D101012700122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist