Staten, William S

Staten, William S is an individual health care provider with primary practice located at 1250 Southwinds Dr Pbcph - Lantana Health Center Dental Clinic, Lantana FL 33462-1459. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Dental Public Health. Dental Providers / Dental Public Health is his primary health care specialty. Staten, William S can be contacted via phone (561) 547-6811.

Contact Information

Primary practice address
1250 Southwinds Dr Pbcph - Lantana Health Center Dental Clinic Lantana FL 33462-1459
Phone: (561) 547-6811
Fax: (561) 540-1107
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 11165 Florida
Dental Providers / Dental Public Health 1223D0001X 11165 Florida

Profile Details

NPI number 1114029170
LBN Legal business name Staten, William S
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2006
Last updated Jan 31st, 2013 - about 11 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 1114029170 NPPES
Florida MEDICAID 0736431-00

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