Provider Demographics
NPI:1700835899
Name:METZ, WILLIAM LAWRENCE (DDS)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:LAWRENCE
Last Name:METZ
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 1:520 S CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:MI
Mailing Address - Zip Code:48116-1814
Mailing Address - Country:US
Mailing Address - Phone:810-229-6318
Mailing Address - Fax:810-229-9212
Practice Address - Street 1:520 S CHURCH ST
Practice Address - Street 2:
Practice Address - City:BRIGHTON
Practice Address - State:MI
Practice Address - Zip Code:48116-1814
Practice Address - Country:US
Practice Address - Phone:810-229-6318
Practice Address - Fax:810-229-9212
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-08
Last Update Date:2016-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2901009500122300000X, 122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist