Individual
WILLIAM PRICE DULEY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
219 W MAIN ST, LEBANON, KY 40033
(270) 692-3314
(270) 692-2157
Mailing address
219 W MAIN ST, LEBANON, KY 40033
(270) 692-3314
(270) 692-2157
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4893
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2398
PASSPORT
KY
05
—
60048931
—
KY
Enumeration date
10/11/2006
Last updated
07/09/2007
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