Provider Demographics
NPI:1609995976
Name:TURNER, WILLIAM WARREN (DDS)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:WARREN
Last Name:TURNER
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 1:4 3RD STREET NE
Mailing Address - Street 2:P.O. BOX 99
Mailing Address - City:ROLLA
Mailing Address - State:ND
Mailing Address - Zip Code:58367-0099
Mailing Address - Country:US
Mailing Address - Phone:701-477-5558
Mailing Address - Fax:701-477-8291
Practice Address - Street 1:4 3RD STREET NE
Practice Address - Street 2:
Practice Address - City:ROLLA
Practice Address - State:ND
Practice Address - Zip Code:58367-0099
Practice Address - Country:US
Practice Address - Phone:701-477-5558
Practice Address - Fax:701-477-8291
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND17521223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice