Provider Demographics
NPI:1861060758
Name:AUSTIN, WILLIAM HARRISON II (DMD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:HARRISON
Last Name:AUSTIN
Suffix:II
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 1:701 W BEECH ST STE 1011
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92101-2673
Mailing Address - Country:US
Mailing Address - Phone:770-314-7575
Mailing Address - Fax:
Practice Address - Street 1:701 W BEECH ST STE 1011
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92101-2673
Practice Address - Country:US
Practice Address - Phone:770-314-7575
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-16
Last Update Date:2025-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX391201223G0001X
GADN1223061223G0001X
CA1107891223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice