Provider Demographics
NPI:1558582767
Name:DANLEY, WILLIAM SCOTT (DDS)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:SCOTT
Last Name:DANLEY
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 1:481 W 200 N
Mailing Address - Street 2:#62-16
Mailing Address - City:ROOSEVELT
Mailing Address - State:UT
Mailing Address - Zip Code:84066-2743
Mailing Address - Country:US
Mailing Address - Phone:435-722-0202
Mailing Address - Fax:435-722-0238
Practice Address - Street 1:481 W 200 N
Practice Address - Street 2:#62-16
Practice Address - City:ROOSEVELT
Practice Address - State:UT
Practice Address - Zip Code:84066-2743
Practice Address - Country:US
Practice Address - Phone:435-722-0202
Practice Address - Fax:435-722-0238
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT138432-99221223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice