Provider Demographics
NPI:1851425193
Name:WILLIAM N. CASTLE, DDS, PLLC
Entity Type:Organization
Organization Name:WILLIAM N. CASTLE, DDS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:NELSON
Authorized Official - Last Name:CASTLE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:901-685-5008
Mailing Address - Street 1:79 N COOPER ST
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38104-2812
Mailing Address - Country:US
Mailing Address - Phone:901-685-5008
Mailing Address - Fax:901-685-5015
Practice Address - Street 1:79 N COOPER ST
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38104-2812
Practice Address - Country:US
Practice Address - Phone:901-685-5008
Practice Address - Fax:901-685-5015
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDS 54121223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty