Dr. William Smythe Tener
Prosthodontist
302 W Hay St Ste Ll115
Decatur
, Illinois 62526-4195
Dr. William Smythe Tener
Prosthodontist
302 W Hay St Ste Ll115
Decatur
, Illinois 62526-4195
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About
Features
Specialties
- Prosthodontist
Languages spoken
- English
Location
First Address
- Dr. William Smythe Tener
- 302 W Hay St Ste Ll115
- Decatur, IL
- Zip : 62526-4195
- Phone :
Second Address
- Dr. William Smythe Tener
- 302 W Hay St Ste Ll115
- Decatur, IL
- Zip : 62526-4195
- Phone : (217) 875-4466
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0700X | Prosthodontist | IL |
National Provider Identifier
| NPI | 1053496430 |
|---|---|
| Provider Name | Dr. William Smythe Tener |
| First Address | Decatur, IL 62526-4195 |
| Second Address | Decatur, IL 62526-4195 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/10/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| T35989 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.