Provider Demographics
NPI:1659415263
Name:MYONES, WILLIAM H (DMD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:H
Last Name:MYONES
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ONE SW 129TH AVE
Mailing Address - Street 2:SUITE 301
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33027
Mailing Address - Country:US
Mailing Address - Phone:954-431-4000
Mailing Address - Fax:954-432-3705
Practice Address - Street 1:ONE SW 129TH AVE
Practice Address - Street 2:SUITE 301
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33027
Practice Address - Country:US
Practice Address - Phone:954-431-4000
Practice Address - Fax:954-432-3705
Is Sole Proprietor?:No
Enumeration Date:2007-02-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN73761223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics