Dentist in BRIDGEPORT, WV
Last Updated on : Jul 08,2007
WILLIAM MARK LILLY is a Dentist provider in BRIDGEPORT, United States. His medical specialization is Dentist .
1184781718 is NPI number of WILLIAM MARK LILLY.
WILLIAM MARK LILLY's primary taxonomy code based on NPI Lookup is 122300000X with license number 3140. This taxonomy code refers to Dentist.
WILLIAM MARK LILLY has more than 15 years of experience.
WILLIAM MARK LILLY current practice location address is 339 EAST MAIN ST, BRIDGEPORT, WV. WILLIAM MARK LILLY can be reached out via phone at 304-842-5588 and via fax at 304-842-7707 .
You can also correspond with WILLIAM MARK LILLY through mail at mailing address 339 EAST MAIN ST, BRIDGEPORT, WV, United States. Mailing address contact number is 304-842-5588.
The enumeration date of WILLIAM MARK LILLY is 02-Jan-2007. The provider is registered as an Individual and the NPI record was last updated 16 years ago.Basic NPI information of WILLIAM MARK LILLY (NPI 1184781718) is provided below.
Name | WILLIAM MARK LILLY |
---|---|
National Provider Id (NPI) | 1184781718 |
Entity Type | Individual |
Gender | M |
Credential | DDS |
Practice Address | 339 EAST MAIN ST,
BRIDGEPORT, WV, United States |
Practice Telephone | 304-842-5588 |
Practice Fax Number | 304-842-7707 |
Mailing Address | 339 EAST MAIN ST ,
BRIDGEPORT, WV, United States |
Mailing Telephone | 304-842-5588 |
Mailing Fax Number | 304-842-7707 |
Enumeration Date | 02-Jan-2007 |
Last Updated Date | 08-Jul-2007 |
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.
Primary | Taxonomy Code | Clasification | License Number | License State |
---|---|---|---|---|
Y | 122300000X | Dentist | 3140 | WV |
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type/Code | Identifier State | Identifier Issuer |
---|---|---|---|
013376000 | MEDICAID (05) | WV |
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---|---|---|---|---|
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15-Jan-2007 |
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25-Jun-2014 |
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26-Jan-2007 |
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26-Jan-2007 |
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26-Jun-2007 |
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16-Jan-2007 |
The following video explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
1184781718 is the NPI number of WILLIAM MARK LILLY.
What is the specialty for WILLIAM MARK LILLY?The Specialty of WILLIAM MARK LILLY is Dentist.
Field Name | Field Value |
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NPI | 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. |
Entity Type | Code describing the type of health care provider that is being assigned an NPI.
Codes are:
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Provider Business Mailing Address | The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code. |
Provider Business Mailing Address Telephone Number | The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number". |
Provider Business Mailing Address Fax Number | The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''. |
Provider Business Practice Location Address Telephone Number | The telephone number associated with the location address of the provider being identified. |
Provider Business Practice Location Address Fax Number | The fax number associated with the location address of the provider being identified. |
Provider Enumeration Date | The date the provider was assigned a unique identifier (assigned an NPI). |
Last Update Date | The date that a record was last updated or changed. |
Authorized Official Telephone Number | The 10-position telephone number of the authorized official. |
Healthcare Provider Taxonomy Code | The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. |
Healthcare Provider Taxonomy | Taxonomy Description of the Healthcare Provider. |
Provider License Number | Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section. |
Provider License Number State Code | Provider License Number State Code #1 |
Healthcare Provider Primary Taxonomy Switch | Primary Taxonomy:
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