Provider Demographics
NPI:1477616902
Name:WILLIAM E ALTMAN DDS PC
Entity Type:Organization
Organization Name:WILLIAM E ALTMAN DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:E
Authorized Official - Last Name:ALTMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:843-238-5634
Mailing Address - Street 1:PO BOX 14674
Mailing Address - Street 2:
Mailing Address - City:SURFSIDE BEACH
Mailing Address - State:SC
Mailing Address - Zip Code:29587-4674
Mailing Address - Country:US
Mailing Address - Phone:843-238-5634
Mailing Address - Fax:843-238-8889
Practice Address - Street 1:811 5TH AVE N
Practice Address - Street 2:
Practice Address - City:SURFSIDE BEACH
Practice Address - State:SC
Practice Address - Zip Code:29575-3967
Practice Address - Country:US
Practice Address - Phone:843-238-5634
Practice Address - Fax:843-238-8889
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty