Provider Demographics
NPI:1942303730
Name:DENGLER, WILLIAM C JR (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:C
Last Name:DENGLER
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2904 COLEBERRY TRL
Mailing Address - Street 2:
Mailing Address - City:ROCKY MOUNT
Mailing Address - State:NC
Mailing Address - Zip Code:27804-2114
Mailing Address - Country:US
Mailing Address - Phone:252-443-0694
Mailing Address - Fax:
Practice Address - Street 1:800 TIFFANY BLVD
Practice Address - Street 2:SUITE 211
Practice Address - City:ROCKY MOUNT
Practice Address - State:NC
Practice Address - Zip Code:27804-1946
Practice Address - Country:US
Practice Address - Phone:252-972-3393
Practice Address - Fax:252-972-2581
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-06
Last Update Date:2008-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC32356208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC66810OtherMEDCOST
NC28338OtherBCBSNC
NC8928338Medicaid
NC21759OtherCIGNA HEALTHCARE
NCC87738Medicare UPIN
NC8928338Medicaid