Provider Demographics
NPI:1710015086
Name:DEWITT, WILLIAM ERROL (DDS)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:ERROL
Last Name:DEWITT
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 1:118 E VALLETTE ST
Mailing Address - Street 2:
Mailing Address - City:ELMHURST
Mailing Address - State:IL
Mailing Address - Zip Code:60126-4447
Mailing Address - Country:US
Mailing Address - Phone:630-279-2121
Mailing Address - Fax:630-279-1363
Practice Address - Street 1:118 E VALLETTE ST
Practice Address - Street 2:
Practice Address - City:ELMHURST
Practice Address - State:IL
Practice Address - Zip Code:60126-4447
Practice Address - Country:US
Practice Address - Phone:630-279-2121
Practice Address - Fax:630-279-1363
Is Sole Proprietor?:No
Enumeration Date:2007-03-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019-163071223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice