Provider Demographics
NPI:1447428743
Name:MCGUIRE, WILLIAM P (DDS)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:P
Last Name:MCGUIRE
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 1:172 FRANKLIN AVE
Mailing Address - Street 2:SUITE 3A
Mailing Address - City:RIDGEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07450-3250
Mailing Address - Country:US
Mailing Address - Phone:201-445-3186
Mailing Address - Fax:
Practice Address - Street 1:172 FRANKLIN AVE
Practice Address - Street 2:SUITE 3A
Practice Address - City:RIDGEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07450-3250
Practice Address - Country:US
Practice Address - Phone:201-445-3186
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-20
Last Update Date:2008-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI011473001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice