Provider Demographics
NPI:1912021346
Name:SANSING, WILLIAM JUDE (DDS)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:JUDE
Last Name:SANSING
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
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Mailing Address - Street 1:6428 TAYLOR OAKS
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:LA
Mailing Address - Zip Code:71301-2772
Mailing Address - Country:US
Mailing Address - Phone:318-473-4545
Mailing Address - Fax:318-473-9460
Practice Address - Street 1:1431 PETERMAN DR
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:LA
Practice Address - Zip Code:71301-3433
Practice Address - Country:US
Practice Address - Phone:318-473-4547
Practice Address - Fax:318-473-9460
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LA35891223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics