Provider Demographics
NPI:1518130772
Name:MUNTON, WILLIAM VICTOR (DDS)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:VICTOR
Last Name:MUNTON
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 1:800A FIFTH AVE
Mailing Address - Street 2:#501
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065
Mailing Address - Country:US
Mailing Address - Phone:212-685-6221
Mailing Address - Fax:212-685-4939
Practice Address - Street 1:800A FIFTH AVE
Practice Address - Street 2:#501
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065
Practice Address - Country:US
Practice Address - Phone:212-685-6221
Practice Address - Fax:212-685-4939
Is Sole Proprietor?:No
Enumeration Date:2008-04-09
Last Update Date:2008-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0377441122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist