Provider Demographics
NPI:1538363445
Name:SHOWS, WILLIAM M (DMD,MS)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:M
Last Name:SHOWS
Suffix:
Gender:M
Credentials:DMD,MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3612 ERIE AVE
Mailing Address - Street 2:
Mailing Address - City:SHEBOYGAN
Mailing Address - State:WI
Mailing Address - Zip Code:53081-3666
Mailing Address - Country:US
Mailing Address - Phone:920-457-2267
Mailing Address - Fax:920-457-7244
Practice Address - Street 1:3612 ERIE AVE
Practice Address - Street 2:
Practice Address - City:SHEBOYGAN
Practice Address - State:WI
Practice Address - Zip Code:53081-3666
Practice Address - Country:US
Practice Address - Phone:920-457-2267
Practice Address - Fax:920-457-7244
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI28851223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics