Provider Demographics
NPI:1306461165
Name:WILLIAMD. MIDDLETON, DDS INC.
Entity type:Organization
Organization Name:WILLIAMD. MIDDLETON, DDS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:D
Authorized Official - Last Name:MIDDLETON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:409-385-3651
Mailing Address - Street 1:1164 HIGHWAY 327 E
Mailing Address - Street 2:
Mailing Address - City:SILSBEE
Mailing Address - State:TX
Mailing Address - Zip Code:77656-5120
Mailing Address - Country:US
Mailing Address - Phone:409-385-3651
Mailing Address - Fax:409-385-9456
Practice Address - Street 1:1164 HIGHWAY 327 E
Practice Address - Street 2:
Practice Address - City:SILSBEE
Practice Address - State:TX
Practice Address - Zip Code:77656-5120
Practice Address - Country:US
Practice Address - Phone:409-385-3651
Practice Address - Fax:409-385-9456
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-08
Last Update Date:2020-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental