Provider Demographics
NPI:1235132127
Name:COMBS, WILLIAM SIDNEY (DDS)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:SIDNEY
Last Name:COMBS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 623
Mailing Address - Street 2:
Mailing Address - City:POWAY
Mailing Address - State:CA
Mailing Address - Zip Code:92074-0623
Mailing Address - Country:US
Mailing Address - Phone:858-748-2364
Mailing Address - Fax:
Practice Address - Street 1:13525 MIDLAND RD
Practice Address - Street 2:STE A
Practice Address - City:POWAY
Practice Address - State:CA
Practice Address - Zip Code:92064-4746
Practice Address - Country:US
Practice Address - Phone:858-748-2364
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA22211122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist