Provider Demographics
NPI:1700328887
Name:WILLIAM B MUNN DDS
Entity Type:Organization
Organization Name:WILLIAM B MUNN DDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:BERRY
Authorized Official - Last Name:MUNN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:804-328-2200
Mailing Address - Street 1:30 W WILLIAMSBURG RD
Mailing Address - Street 2:
Mailing Address - City:SANDSTON
Mailing Address - State:VA
Mailing Address - Zip Code:23150-2010
Mailing Address - Country:US
Mailing Address - Phone:804-328-2200
Mailing Address - Fax:804-328-0528
Practice Address - Street 1:30 W WILLIAMSBURG RD
Practice Address - Street 2:
Practice Address - City:SANDSTON
Practice Address - State:VA
Practice Address - Zip Code:23150-2010
Practice Address - Country:US
Practice Address - Phone:804-328-2200
Practice Address - Fax:804-328-0528
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CENTRAL VIRGINIA DENTAL CARE PLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-11-07
Last Update Date:2016-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty