Provider Demographics
NPI:1477542355
Name:LENTS, WILLIAM W II (DDS)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:W
Last Name:LENTS
Suffix:II
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 1:619 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:NEWBERN
Mailing Address - State:TN
Mailing Address - Zip Code:38059-1438
Mailing Address - Country:US
Mailing Address - Phone:731-627-2372
Mailing Address - Fax:731-627-9901
Practice Address - Street 1:619 W MAIN ST
Practice Address - Street 2:
Practice Address - City:NEWBERN
Practice Address - State:TN
Practice Address - Zip Code:38059-1438
Practice Address - Country:US
Practice Address - Phone:731-627-2372
Practice Address - Fax:731-627-9901
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TND.S.43821223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice