Provider Demographics
NPI:1487108783
Name:KEY, WILLIAM OILLIE III (DMD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:OILLIE
Last Name:KEY
Suffix:III
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1241 RIVER LN
Mailing Address - Street 2:
Mailing Address - City:EVANS
Mailing Address - State:GA
Mailing Address - Zip Code:30809-4865
Mailing Address - Country:US
Mailing Address - Phone:706-284-3255
Mailing Address - Fax:
Practice Address - Street 1:701 DEVIKA DR STE 10
Practice Address - Street 2:
Practice Address - City:GROVETOWN
Practice Address - State:GA
Practice Address - Zip Code:30813-5137
Practice Address - Country:US
Practice Address - Phone:706-664-0744
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-04
Last Update Date:2016-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN015258122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist