Provider Demographics
NPI:1841351376
Name:FAY, WILLIAM WARNER (DDS)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:WARNER
Last Name:FAY
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3501 FILLMORE ST APT 301208
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94123-2169
Mailing Address - Country:US
Mailing Address - Phone:415-994-1188
Mailing Address - Fax:650-742-9704
Practice Address - Street 1:3501 FILLMORE ST APT 301
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94123-2158
Practice Address - Country:US
Practice Address - Phone:415-994-1188
Practice Address - Fax:650-742-9704
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2021-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADDS224561223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics