Dallas, William S

Dallas, William S is an individual health care provider with primary practice located at 120 Administration Rd , Oak Ridge TN 37830-8822. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Dallas, William S can be contacted via phone (865) 483-7030.

Contact Information

Primary practice address
120 Administration Rd Oak Ridge TN 37830-8822
Fax: (865) 483-3954
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X MD020500 Tennessee
Allopathic & Osteopathic Physicians / Surgery 208600000X MD020500 Tennessee

Profile Details

NPI number 1326024308
LBN Legal business name Dallas, William S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2005
Last updated Oct 3rd, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326024308 NPPES
Tennessee MEDICAID Q009776

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