Provider Demographics
NPI:1861455016
Name:WILLIAMS & PEARCE FAMILY DENTAL SC
Entity Type:Organization
Organization Name:WILLIAMS & PEARCE FAMILY DENTAL SC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:G
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:608-647-3993
Mailing Address - Street 1:100 N CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:RICHLAND CENTER
Mailing Address - State:WI
Mailing Address - Zip Code:53581-2250
Mailing Address - Country:US
Mailing Address - Phone:608-647-3993
Mailing Address - Fax:608-647-7327
Practice Address - Street 1:100 N CHURCH ST
Practice Address - Street 2:
Practice Address - City:RICHLAND CENTER
Practice Address - State:WI
Practice Address - Zip Code:53581-2250
Practice Address - Country:US
Practice Address - Phone:608-647-3993
Practice Address - Fax:608-647-7327
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-10
Last Update Date:2012-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty