Organization
WILLIAM C BIGELOW, D.D.S., PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM C BIGELOW D.D.S. (OWNER)
(540) 213-8750
Entity
Organization
Contact information
Practice address
110 MACTANLY PL STE C, STAUNTON, VA 24401-2362
(540) 213-8750
(540) 213-8753
Mailing address
110 MACTANLY PL STE C, STAUNTON, VA 24401-2362
(540) 213-8750
(540) 213-8753
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
0438000074
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1998563
—
VA
Enumeration date
03/17/2010
Last updated
03/17/2010
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