Individual ProviderWilliam J. VenableDentistDental ProvidersPractice Address110 South B Street, Livingston, MT 59047-2612(406) 222-8152PECOS EnrollmentBased on the most recent information from CMS, provider William J. Venable does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1326166943Provider TypeIndividualFull NameVenable, William J.TitleDr.CredentialD.D.S.GenderMaleSole ProprietorYesEnumeration Date3/26/2007Last Updated7/9/2007Contact InformationPractice LocationPractice Address110 South B Street, Livingston, MT 59047-2612Phone(406) 222-8152FaxUnlisted FaxMailing LocationMailing Address110 South B Street, Livingston, MT 59047-2612Phone(406) 222-8152FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1223G0001XPrimaryDescriptionDentistDental ProvidersLicense1749MontanaProvider IdentifiersIDDescriptionIssuerID0114959DescriptionMedicaidIssuerUnlistedMontanaID5511324DescriptionOtherIssuerCHIP-DENTALMontana