Mallard, William Andrew

Mallard, William Andrew is an sole proprietor health care provider with primary practice located at 11201 W Point Dr Ste 100 , Knoxville TN 37934-2833. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is his primary health care specialty. Mallard, William Andrew can be contacted via phone (865) 309-4020.

Contact Information

Primary practice address
11201 W Point Dr Ste 100 Knoxville TN 37934-2833
Phone: (865) 309-4020
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 4003 Arkansas
Dental Providers / Pediatric Dentistry 1223P0221X 10487 Tennessee

Profile Details

NPI number 1780091132
LBN Legal business name Mallard, William Andrew
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 17th, 2014
Last updated Jun 5th, 2024 - about last year

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 1780091132 NPPES
Tennessee MEDICAID Q028954

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