Individual
WILLIAM DENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3001 SAINT JOHNS BLVD, JOPLIN, MO 64804-1884
(417) 208-0805
Mailing address
3 WOODSTOWN DR, FREEHOLD, NJ 07728-9502
(774) 840-0613
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2025025258
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2025025258
DENTIST LICENSE
MO
01
—
22DI012561
DENTIST LICENSE
NJ
Enumeration date
12/16/2005
Last updated
08/28/2025
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