Provider Demographics
NPI:1194805747
Name:WALDINGER, WILLIAM T (DDS)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:T
Last Name:WALDINGER
Suffix:
Gender:M
Credentials:DDS
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Mailing Address - Street 1:760 BROADWAY DEPARTMENT OF MANAGED CARE ROOM 2B230
Mailing Address - Street 2:WOODHULL MEDICAL & MENTAL HEALTH CENTER
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11206
Mailing Address - Country:US
Mailing Address - Phone:718-963-8000
Mailing Address - Fax:718-630-3122
Practice Address - Street 1:760 BROADWAY
Practice Address - Street 2:WOODHULL MEDICAL & MENTAL HEALTH CENTER
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11206
Practice Address - Country:US
Practice Address - Phone:718-963-8000
Practice Address - Fax:718-253-0300
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-17
Last Update Date:2014-09-17
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Provider Licenses
StateLicense IDTaxonomies
NY0405251223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics