Hentze, William J
Hentze, William J is an individual health care provider with primary practice located at 17 Junction Dr , Glen Carbon IL 62034-2996. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Hentze, William J can be contacted via phone (618) 304-1122.Contact Information
Primary practice address
17 Junction Dr
Glen Carbon IL 62034-2996
Phone: (618) 304-1122
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 019014578 | Illinois |
Profile Details
| NPI number | 1437324696 |
|---|---|
| LBN Legal business name | Hentze, William J |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 28th, 2008 |
| Last updated | Oct 30th, 2020 - about 5 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 | 1437324696 | NPPES |
| Illinois | MEDICAID | 108441 |
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