Provider Demographics
NPI:1548399793
Name:FOURNIER, WILLIAM H JR (DDS)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:H
Last Name:FOURNIER
Suffix:JR
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1282 S BARKSDALE RD
Mailing Address - Street 2:
Mailing Address - City:MT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464-5100
Mailing Address - Country:US
Mailing Address - Phone:843-884-2211
Mailing Address - Fax:843-766-5818
Practice Address - Street 1:675 SAINT ANDREWS BLVD
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29407-7343
Practice Address - Country:US
Practice Address - Phone:843-766-5858
Practice Address - Fax:843-766-5818
Is Sole Proprietor?:No
Enumeration Date:2007-03-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC16241223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics