Provider Demographics
NPI:1356363717
Name:SULIK, WILLIAM D (DD,S, MS)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:D
Last Name:SULIK
Suffix:
Gender:M
Credentials:DD,S, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:920 MARTIN LUTHER KING JR BLVD
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-2619
Mailing Address - Country:US
Mailing Address - Phone:919-968-0220
Mailing Address - Fax:919-968-8767
Practice Address - Street 1:920 MARTIN LUTHER KING JR BLVD
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-2619
Practice Address - Country:US
Practice Address - Phone:919-968-0220
Practice Address - Fax:919-968-8767
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCNC 44521223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics