NPI 1184781718
William Mark Lilly, DDS
Practice location
- Address
- 339 East Main St, Bridgeport, WV 26330
- Phone
- (304) 842-5588
- Fax
- (304) 842-7707
Registered specialties
Dentist
Primary
Registry record
- NPI
- 1184781718
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 2 Jan 2007
- Record last updated
- 8 Jul 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.