Dr William L Wiley, DDS is a
Dentist - Periodontics based in College Staton, Texas. Dr William L Wiley is licensed to practice in Texas (license number 10460) and his current practice location is
1505 Emerald Plaza, College Staton, Texas. He can be reached at his office (for appointments etc.) via phone at
(979) 764-7101.
NPI number for Dr William L Wiley is 1972507499 and his current mailing address is 1505 Emerald Plaza, College Station, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1972507499.
Healthcare Provider's Profile
| Full Name | Dr William L Wiley |
|---|
| Gender | Male |
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| Speciality | Dentist - Periodontics |
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| Location | 1505 Emerald Plaza, College Staton, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1972507499
- Provider Enumeration Date: 06/13/2005
- Last Update Date: 06/01/2009
Medical Identifiers
Medical identifiers for Dr William L Wiley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1972507499 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223P0300X | Dentist - Periodontics | 10460 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr William L Wiley is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr William L Wiley, DDS
1505 Emerald Plaza,
College Station, TX 77845-1501
Ph: (979) 764-7101 | Dr William L Wiley, DDS
1505 Emerald Plaza,
College Staton, TX 77845-1501
Ph: (979) 764-7101 |
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