Williams, Bryan Jack

Williams, Bryan Jack is an individual health care provider with primary practice located at 4800 Sand Point Way Ne M/S Cd, Seattle WA 98105-3901. He recently has 2 registered licenses in different health care specialties including Dental Providers / Orthodontics and Dentofacial Orthopedics, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is his primary health care specialty. Williams, Bryan Jack can be contacted via phone (206) 987-2243.

Contact Information

Primary practice address
4800 Sand Point Way Ne M/S Cd Seattle WA 98105-3901
Phone: (206) 987-2243
Fax: (206) 987-3891
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X DE00007285 Washington
Dental Providers / Pediatric Dentistry 1223P0221X DE00007285 Washington

Profile Details

NPI number 1801991799
LBN Legal business name Williams, Bryan Jack
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2006
Last updated Jan 29th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801991799 NPPES
Montana MEDICAID 0130118
Montana MEDICAID 5100011
Montana MEDICAID DD103WA
Montana MEDICAID 03556700

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