William Frederick Halligan | San Diego, CA • PECOS Search

William Frederick Halligan

Dentist

Dental Providers

4320 Genesee Ave Ste 207, San Diego, CA 92117-4900

PECOS Enrollment

Based on the most recent information from CMS, provider William Frederick Halligan does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1326169954
Provider Type
Individual
Full Name
Halligan, William Frederick
Title
Dr.
Credential
DDS

Gender
Male
Sole Proprietor
Yes
Enumeration Date
4/2/2007
Last Updated
7/8/2007

Contact Information

Practice Location

4320 Genesee Ave Ste 207, San Diego, CA 92117-4900

(858) 277-3258

Mailing Location

4320 Genesee Ave Ste 207, San Diego, CA 92117-4900

(858) 277-3258

Provider Taxonomies

Code	Description	License
Code 122300000X Primary	Description Dentist Dental Providers	License 22977 California