Provider Demographics
NPI:1730499260
Name:PRINGLE, WILLIAM WATSON (DDS)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:WATSON
Last Name:PRINGLE
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 1:521 S FRANKLIN ST
Mailing Address - Street 2:
Mailing Address - City:WHITEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28472-4113
Mailing Address - Country:US
Mailing Address - Phone:910-640-3070
Mailing Address - Fax:910-640-3070
Practice Address - Street 1:521 S FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:WHITEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28472-4113
Practice Address - Country:US
Practice Address - Phone:910-640-3070
Practice Address - Fax:910-640-3070
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-18
Last Update Date:2010-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC71671223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC899016AMedicaid