DR. BRYAN JACK WILLIAMS DDS NPI 1801991799

NPI Information

NPI: 1801991799
Provider Name: DR. BRYAN JACK WILLIAMS, DDS
Classification: Dentist - 1223P0221X
Entity Type: Individual

Specialization: Pediatric Dentistry

Address:
4800 SAND POINT WAY NE
M/S CD
SEATTLE, WA
ZIP 98105
Phone: (206) 987-2243
Get Directions

DR. Bryan Jack Williams, DDS is a pediatric dentistry dentist in Seattle, WA. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. DR. Bryan Jack Williams, DDS NPI is 1801991799. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4800 SAND POINT WAY NE
M/S CD
SEATTLE, WA
ZIP 98105-901
Phone: (206) 987-2243
Fax: (206) 987-3891

The enumeration date for this NPI number is 9/14/2006 and was last updated on 1/29/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223P0221X	Dentist	Pediatric Dentistry	DE00007285	WASHINGTON	Yes
2	1223X0400X	Dentist	Orthodontics and Dentofacial Orthopedics	DE00007285	WASHINGTON	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	0130118	MEDICAID	MONTANA
2	03556700	MEDICAID	IDAHO
3	5100011	MEDICAID	WASHINGTON
4	DD103WA	MEDICAID	ALASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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