Provider Demographics
NPI:1548348717
Name:TRIMMER, WILLIAM TEMPLE III (DDS)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:TEMPLE
Last Name:TRIMMER
Suffix:III
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:729 THIMBLE SHOALS BLVD
Mailing Address - Street 2:SUITE 2 E
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23606-4249
Mailing Address - Country:US
Mailing Address - Phone:757-873-2098
Mailing Address - Fax:757-873-2182
Practice Address - Street 1:729 THIMBLE SHOALS BLVD
Practice Address - Street 2:SUITE 2 E
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23606-4249
Practice Address - Country:US
Practice Address - Phone:757-873-2098
Practice Address - Fax:757-873-2182
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA04010057661223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics