Individual
MR. WILLIAM A BEHRNDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
126 FAIRPLAY ST, RUTLEDGE, GA 30663-2378
(706) 557-7374
Mailing address
126 FAIRPLAY ST, RUTLEDGE, GA 30663-2378
(706) 557-7374
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN014716
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
47-1945686
TAXPAYER ID NUMBER
GA
Enumeration date
09/06/2006
Last updated
04/06/2015
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