Provider Demographics
NPI:1447509716
Name:WILLIAM J. WASH DDS LTD.
Entity type:Organization
Organization Name:WILLIAM J. WASH DDS LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:J
Authorized Official - Last Name:WASH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-766-0115
Mailing Address - Street 1:545 S YORK RD
Mailing Address - Street 2:#200
Mailing Address - City:BENSENVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60106-3000
Mailing Address - Country:US
Mailing Address - Phone:630-766-0115
Mailing Address - Fax:630-766-1164
Practice Address - Street 1:545 S YORK RD
Practice Address - Street 2:#200
Practice Address - City:BENSENVILLE
Practice Address - State:IL
Practice Address - Zip Code:60106-3000
Practice Address - Country:US
Practice Address - Phone:630-766-0115
Practice Address - Fax:630-766-1164
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-02
Last Update Date:2012-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019-0206881223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty