Provider Demographics
NPI:1770517708
Name:WILLIAM B. DENAMUR, DMD, PC
Entity type:Organization
Organization Name:WILLIAM B. DENAMUR, DMD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DEANNA
Authorized Official - Middle Name:C
Authorized Official - Last Name:MORGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-324-1415
Mailing Address - Street 1:2326 WARM SPRINGS RD
Mailing Address - Street 2:STE. A
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31904-6860
Mailing Address - Country:US
Mailing Address - Phone:706-324-1415
Mailing Address - Fax:706-324-0844
Practice Address - Street 1:2326 WARM SPRINGS RD
Practice Address - Street 2:STE. A
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31904-6860
Practice Address - Country:US
Practice Address - Phone:706-324-1415
Practice Address - Fax:706-324-0844
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA9802122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
811417OtherUNITED CONCORDIA #