Provider Demographics
NPI:1184731051
Name:MCALLISTER, WILLIAM P (DDS)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:P
Last Name:MCALLISTER
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 1:150 E DIVISION RD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:OAK RIDGE
Mailing Address - State:TN
Mailing Address - Zip Code:37830-6938
Mailing Address - Country:US
Mailing Address - Phone:865-483-4824
Mailing Address - Fax:
Practice Address - Street 1:150 E DIVISION RD
Practice Address - Street 2:SUITE 1
Practice Address - City:OAK RIDGE
Practice Address - State:TN
Practice Address - Zip Code:37830-6938
Practice Address - Country:US
Practice Address - Phone:865-483-4824
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDS43901223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice