Provider Demographics
NPI:1770753261
Name:BILL F. MCMASTERS DDS LTD
Entity type:Organization
Organization Name:BILL F. MCMASTERS DDS LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BILL
Authorized Official - Middle Name:FRIEDRICH
Authorized Official - Last Name:MCMASTERS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:618-931-6080
Mailing Address - Street 1:2133 PONTOON RD
Mailing Address - Street 2:
Mailing Address - City:GRANITE CITY
Mailing Address - State:IL
Mailing Address - Zip Code:62040-4015
Mailing Address - Country:US
Mailing Address - Phone:618-931-6080
Mailing Address - Fax:618-931-6188
Practice Address - Street 1:2133 PONTOON RD
Practice Address - Street 2:
Practice Address - City:GRANITE CITY
Practice Address - State:IL
Practice Address - Zip Code:62040-4015
Practice Address - Country:US
Practice Address - Phone:618-931-6080
Practice Address - Fax:618-931-6188
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-11
Last Update Date:2008-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental