Individual provider · Type 1 NPI

William Kenneth Tom, DDS, M.S.

Oral and Maxillofacial Surgery (Dentist) · Ukiah, CA

NPI number 1720206899 Active

Practice location

620 S Dora St, Suite 205
Ukiah, CA 95482-5466

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X37747 (CA)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1720206899

William Kenneth Tom, DDS, M.S.'s National Provider Identifier is 1720206899, issued on Apr 23, 2007. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Ukiah, CA. The record was last updated on Jul 8, 2007.