Provider Demographics
NPI:1396920104
Name:WILLIAM B BIGGS INC
Entity type:Organization
Organization Name:WILLIAM B BIGGS 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:BAILEY
Authorized Official - Last Name:BIGGS
Authorized Official - Suffix:SR
Authorized Official - Credentials:DDS
Authorized Official - Phone:740-592-1377
Mailing Address - Street 1:715 W UNION ST
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:OH
Mailing Address - Zip Code:45701-9410
Mailing Address - Country:US
Mailing Address - Phone:740-592-1377
Mailing Address - Fax:
Practice Address - Street 1:715 W UNION ST
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:OH
Practice Address - Zip Code:45701-9410
Practice Address - Country:US
Practice Address - Phone:740-592-1377
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-31
Last Update Date:2007-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH009545122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0705759Medicaid
OH5759Medicare PIN