Individual
DR. WILLIAM A MCCORMICK III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
604 NORTH MAIN STREET, WASHINGTON, PA 15301
(724) 225-5070
(724) 225-5262
Mailing address
604 NORTH MAIN STREET, WASHINGTON, PA 15301
(724) 225-5070
(724) 225-5262
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS019551L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0996557
—
PA
01
—
140734
UNITED CONCORDIA
PA
01
—
83667
UNISON
PA
Enumeration date
10/13/2006
Last updated
07/08/2007
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