Individual
DR. WILLIAM CLINTON JEFFREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2165 CUNNINGHAM DR, HAMPTON, VA 23666-2569
(757) 827-5665
Mailing address
30 ADRIATIC DR, HAMPTON, VA 23664-1902
(606) 623-3913
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401410953
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0401410953
STATE LICENSE
VA
01
—
8555
KY DENTAL LICENSE
KY
Enumeration date
05/30/2006
Last updated
03/05/2008
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