Provider Demographics
NPI:1760573174
Name:MEANS, WILLIAM R (DMD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:R
Last Name:MEANS
Suffix:
Gender:M
Credentials:DMD
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Mailing Address - Street 1:1500 SAN REMO AVE
Mailing Address - Street 2:#150
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33146-3043
Mailing Address - Country:US
Mailing Address - Phone:305-667-1191
Mailing Address - Fax:305-667-2712
Practice Address - Street 1:1500 SAN REMO AVE
Practice Address - Street 2:#150
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33146-3043
Practice Address - Country:US
Practice Address - Phone:305-667-1191
Practice Address - Fax:305-667-2712
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLDN87101223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLT84385Medicare UPIN