Individual
WILLIAM MARK MYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
207 PROFESSIONAL PARK DR, GLASGOW, KY 42141-3486
(270) 651-3709
(270) 651-8592
Mailing address
207 PROFESSIONAL PARK DR, GLASGOW, KY 42141-3486
(270) 651-3709
(270) 651-8592
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6138
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
45605532
—
KY
05
—
60061389
—
KY
Enumeration date
07/20/2006
Last updated
10/01/2020
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