Provider Demographics
NPI:1659939346
Name:HANDT, WILLIAM F (DDS)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:F
Last Name:HANDT
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 1:5980 MAGNOLIA CT
Mailing Address - Street 2:
Mailing Address - City:BROWNSBURG
Mailing Address - State:IN
Mailing Address - Zip Code:46112-8776
Mailing Address - Country:US
Mailing Address - Phone:317-500-0305
Mailing Address - Fax:
Practice Address - Street 1:1302 PEARL ST
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:IN
Practice Address - Zip Code:47932-9760
Practice Address - Country:US
Practice Address - Phone:765-793-4680
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-29
Last Update Date:2019-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12013161A122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist