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NPI Code Detail

MEDICARE: DR. DOYLE BRADLEY WILLIAMS DDS

MEDICARE:  DR. DOYLE BRADLEY WILLIAMS  DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry12256TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1173259OTHERTXUNITED CONCORDIA
285D561OTHERTXFEDERAL BLUE CROSS

General Provider Information

NPI Number : 1578686614
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DOYLE BRADLEY WILLIAMS DDS
Provider Business Mailing Address
First Line : 5800 COIT RD.
Second Line : SUITE 800
City : PLANO
State : TX
Zip : 75023-5944
Country : US
Telephone Number : 972-596-9697
Fax Number : 972-867-4796
Provider Business Practice Location Address
First Line : 5800 COIT RD.
Second Line : SUITE 800
City : PLANO
State : TX
Zip : 75023-5944
Country : US
Telephone Number : 972-596-9697
Fax Number : 972-867-4796
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2007
Last Update Date : 12/11/2007

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Directions to “ DR. DOYLE BRADLEY WILLIAMS DDS” Practice Location

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