Individual
DR. WILLIAM J MIDDLECOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
17965 US HIGHWAY 64, SOMERVILLE, TN 38068-6906
(901) 466-0501
Mailing address
17965 US HIGHWAY 64, SOMERVILLE, TN 38068-6906
(901) 466-0501
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7774
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1542891
UNITED CONCORDIA
—
01
—
4073226
BCBS TN
TN
Enumeration date
09/06/2006
Last updated
07/08/2007
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