Provider Demographics
NPI:1841401809
Name:WILLIAM J. CLAIBORNEDDS PA
Entity Type:Organization
Organization Name:WILLIAM J. CLAIBORNEDDS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PERIODONTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:J
Authorized Official - Last Name:CLAIBORNE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:828-274-9440
Mailing Address - Street 1:11 YORKSHIRE ST
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-2751
Mailing Address - Country:US
Mailing Address - Phone:828-274-9440
Mailing Address - Fax:828-274-8314
Practice Address - Street 1:11 YORKSHIRE ST
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-2751
Practice Address - Country:US
Practice Address - Phone:828-274-9440
Practice Address - Fax:828-274-8314
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC41791223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0300XDental ProvidersDentistPeriodonticsGroup - Single Specialty