Provider Demographics
NPI:1215947924
Name:MONTREUIL, WILLIAM JOSEPH
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:JOSEPH
Last Name:MONTREUIL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 ROUND ROCK AVE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78681-4514
Mailing Address - Country:US
Mailing Address - Phone:512-246-9080
Mailing Address - Fax:512-246-2219
Practice Address - Street 1:901 ROUND ROCK AVE
Practice Address - Street 2:SUITE 102
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78681-4514
Practice Address - Country:US
Practice Address - Phone:512-246-9080
Practice Address - Fax:512-246-2219
Is Sole Proprietor?:No
Enumeration Date:2006-08-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX220041223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice