Provider Demographics
NPI:1972675411
Name:WINDLE, WILLIAM GARLAND (DDS)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:GARLAND
Last Name:WINDLE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1706
Mailing Address - Street 2:2774 MINERS FLAT RD.
Mailing Address - City:GEORGETOWN
Mailing Address - State:CA
Mailing Address - Zip Code:95634-1706
Mailing Address - Country:US
Mailing Address - Phone:530-333-4114
Mailing Address - Fax:
Practice Address - Street 1:2774 MINERS FLAT RD.
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:CA
Practice Address - Zip Code:95634-1706
Practice Address - Country:US
Practice Address - Phone:530-333-4114
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA277121223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice