Provider Demographics
NPI:1013929868
Name:WM. HOYT DEMMERLY, LLC
Entity Type:Organization
Organization Name:WM. HOYT DEMMERLY, LLC
Other - Org Name:ALL FAMILY DENTAL, LLC
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:HOYT
Authorized Official - Last Name:DEMMERLY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:609-654-7888
Mailing Address - Street 1:99 TAUNTON RD.
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:08055
Mailing Address - Country:US
Mailing Address - Phone:609-654-7888
Mailing Address - Fax:609-654-2827
Practice Address - Street 1:99 TAUNTON RD
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:NJ
Practice Address - Zip Code:08055
Practice Address - Country:US
Practice Address - Phone:609-654-7888
Practice Address - Fax:609-654-2827
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-12
Last Update Date:2014-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJD10146631223G0001X
NJ22D1022197001223G0001X
NJ22DI1014663001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty