Provider Demographics
NPI:1871592360
Name:AUGHTON, WILLIAM GEORGE
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:GEORGE
Last Name:AUGHTON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:90 CYPRESS WAY E
Mailing Address - Street 2:SUITE 30
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34110-9275
Mailing Address - Country:US
Mailing Address - Phone:239-597-3300
Mailing Address - Fax:239-597-8409
Practice Address - Street 1:90 CYPRESS WAY E
Practice Address - Street 2:SUITE 30
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34110-9275
Practice Address - Country:US
Practice Address - Phone:239-597-3300
Practice Address - Fax:239-597-8409
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-18
Last Update Date:2010-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN 119261223P0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0106XDental ProvidersDentistOral and Maxillofacial Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL073622800Medicaid
FL073622800Medicaid
FL635192Medicare ID - Type Unspecified