Jerry B. Williams, DDS

General Practice Dentistry · Brush Prairie, WA

Individual Active NPI

NPI number 1881164762

Practice location

24121 NE 124TH Circle
Brush Prairie, WA 98606-4322
Phone
(360) 260-6934

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NPI record

NPI
1881164762
Entity type
Individual (Type 1)
Enumeration date
December 4, 2018
Last updated
December 4, 2018
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 4684 WA

Mailing address

24121 NE 124TH Cir
Brush Prairie, WA 98606-4322
Phone
(360) 260-6934

About Dr. Williams

Jerry B. Williams, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 24121 NE 124TH Circle, Brush Prairie, WA 98606-4322. The NPI number 1881164762 was assigned on December 4, 2018 and the record was last updated on December 4, 2018.

Dr. Williams lists a license in the registry: #4684 (WA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jerry B. Williams, DDS?

The NPI number is 1881164762.

What is the phone number of Dr. Williams?

The phone number listed for the practice location is (360) 260-6934.

Where is Dr. Williams located?

24121 NE 124TH Circle, Brush Prairie, WA 98606-4322.

What is the taxonomy code for Dr. Williams?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.