Organization
WILLIAM R. WARREN DDS,PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM RODMAN WARREN DEGREE (OWNER)
(336) 724-5055
Entity
Organization
Contact information
Practice address
1241 W CLEMMONSVILLE RD, WINSTON SALEM, NC 27127-4790
(336) 525-7470
(336) 724-1525
Mailing address
2141 WEST CLEMMONSVILLE RD, WINSTON SALEM, NC 27127
(336) 525-7470
(336) 724-1525
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
4966
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7998929
—
NC
Enumeration date
02/09/2016
Last updated
02/09/2016
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