Dr. William Michael Netzley, D.D.S.
Dentist in Fresno, CA. Individual provider (NPI-1).
NPI number1790793396
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1790793396
- Entity type
- Individual (NPI-1)
- Name
- Dr. William Michael Netzley
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 3, 2006
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | D27546 | CA | Yes |
Practice location
5151 N Palm AveSuite 450
Fresno, CA 93704-2211
Phone 559-227-4078 · Fax 559-227-7402
Mailing address
608 E Home AveFresno, CA 93728-1726
Phone 559-268-6840
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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