Individual
DR. WILLIAM RAYFORD PRIESTER III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5866 RIDGE BEND RD, SUITE 1, MEMPHIS, TN 38120-9477
(901) 767-8759
(901) 767-0763
Mailing address
5866 RIDGE BEND RD, SUITE, MEMPHIS, TN 38120-9477
(901) 767-8759
(901) 767-0763
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
2498
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016333TND
ECID
TN
01
—
0170462
BLUE CROSS AND BLUE SHIEL
TN
01
—
2498
DENTAL LICENSE NUMBER
TN
01
—
AP5978474
PRESCREPTION LICENSE NUMB
TN
01
—
H20021404
HIPPA
TN
Enumeration date
11/28/2006
Last updated
07/08/2007
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