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
Phone: (865) 483-7030
Fax: (865) 483-3954
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1326024308 | NPPES |
Tennessee | MEDICAID | Q009776 |
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