Gilmore, William W

Gilmore, William W is an individual health care provider with primary practice located at 1809 E Milwaukee St , Janesville WI 53545. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Eye and Vision Services Providers / Optometrist. Dental Providers / Dentist is his primary health care specialty. Gilmore, William W can be contacted via phone (608) 752-9161.

Contact Information

Primary practice address
1809 E Milwaukee St Janesville WI 53545
Phone: (608) 752-9161
Fax: (608) 752-4169
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 4712015 Wisconsin
Eye and Vision Services Providers / Optometrist 152W00000X 2177035 Wisconsin

Profile Details

NPI number 1649290065
LBN Legal business name Gilmore, William W
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649290065 NPPES
Wisconsin MEDICAID 33728700

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