Provider Demographics
NPI:1336265917
Name:PLATT, WILLIAM R (DDS)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:R
Last Name:PLATT
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 1:805 W 7TH ST
Mailing Address - Street 2:#101
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89503-2705
Mailing Address - Country:US
Mailing Address - Phone:775-323-4410
Mailing Address - Fax:775-323-4610
Practice Address - Street 1:805 W 7TH ST
Practice Address - Street 2:#101
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89503-2705
Practice Address - Country:US
Practice Address - Phone:775-323-4410
Practice Address - Fax:775-323-4610
Is Sole Proprietor?:No
Enumeration Date:2007-03-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVNV2225122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist