Provider Demographics
NPI:1801952916
Name:ASHCRAFT, WILLIAM A JR (DMD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:A
Last Name:ASHCRAFT
Suffix:JR
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 279
Mailing Address - Street 2:
Mailing Address - City:SMITHS
Mailing Address - State:AL
Mailing Address - Zip Code:36877-0279
Mailing Address - Country:US
Mailing Address - Phone:334-297-5992
Mailing Address - Fax:334-297-5993
Practice Address - Street 1:2355 LEE ROAD 430
Practice Address - Street 2:
Practice Address - City:SMITHS
Practice Address - State:AL
Practice Address - Zip Code:36877-4832
Practice Address - Country:US
Practice Address - Phone:334-294-5992
Practice Address - Fax:334-297-5993
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALAL39941223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice