Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223E0200X | Endodontist | DS-3087 | TN |
NPI | 1114092277 |
---|---|
Provider Name | Dr. William Steven Emery |
First Address | Goodlettsville, TN 37072 |
Second Address | Goodlettsville, TN 37072 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/11/2006 |
Last Update Date | 08/07/2007 |