Provider Demographics
NPI:1790857175
Name:DICKEY, WILLIAM PERCY III (DMD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:PERCY
Last Name:DICKEY
Suffix:III
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 19089
Mailing Address - Street 2:
Mailing Address - City:NATCHEZ
Mailing Address - State:MS
Mailing Address - Zip Code:39122-9089
Mailing Address - Country:US
Mailing Address - Phone:601-442-6204
Mailing Address - Fax:601-442-1423
Practice Address - Street 1:142 JEFFERSON DAVIS BLVD
Practice Address - Street 2:SUITE B
Practice Address - City:NATCHEZ
Practice Address - State:MS
Practice Address - Zip Code:39120-5104
Practice Address - Country:US
Practice Address - Phone:601-442-6204
Practice Address - Fax:601-442-1423
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-14
Last Update Date:2013-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS3125-001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice