Provider Demographics
NPI:1982712824
Name:FURST, WILLIAM FORD (DDS)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:FORD
Last Name:FURST
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8213 ROUGHRIDER DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78239-2430
Mailing Address - Country:US
Mailing Address - Phone:210-590-2736
Mailing Address - Fax:210-656-6158
Practice Address - Street 1:8213 ROUGHRIDER DR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78239-2430
Practice Address - Country:US
Practice Address - Phone:210-590-2736
Practice Address - Fax:210-656-6158
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14303122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist