William J Fitzgerald, D.D.S. Valid NPI

Individual provider · General Practice Dentistry · Murfreesboro, TN

NPI

1164591723

Type

Individual (Type 1)

Primary specialty

General Practice Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223G0001X

License number

7244 (TN)

Sex

Male

Sole proprietor

Yes

Enumerated

2006-11-07

Last updated

2007-07-08