Provider Demographics
NPI:1316152986
Name:CHUOKE, WILLIAM ANTHONY JR (DDS)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:ANTHONY
Last Name:CHUOKE
Suffix:JR
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1310 34TH ST N
Mailing Address - Street 2:SUITE A
Mailing Address - City:TEXAS CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77590-6570
Mailing Address - Country:US
Mailing Address - Phone:409-948-1384
Mailing Address - Fax:
Practice Address - Street 1:1310 34TH ST N
Practice Address - Street 2:SUITE A
Practice Address - City:TEXAS CITY
Practice Address - State:TX
Practice Address - Zip Code:77590-6570
Practice Address - Country:US
Practice Address - Phone:409-948-1384
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-14
Last Update Date:2009-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX126421223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice