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General NPI Number Information
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NPI Number | 1457699142
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Entity Type | Individual
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Provider Name | BRYAN CHRISTOPHER WILLIAMS MD
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Gender | Male
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Dates
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Enumeration Date | 01/30/2013
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Last Update Date | 10/05/2018
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Provider Practice Location Address
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Address Line | 330 S GARDEN WAY STE 140
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City | EUGENE
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State | OR
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Zip | 97401
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Country | US
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Telephone | 541-686-9750
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Fax | 541-485-5034
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Provider Business Mailing Address
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Address Line | 330 S GARDEN WAY STE 140
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City | EUGENE
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State | OR
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Zip | 97401-8181
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Country | US
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Telephone | 541-686-9750
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Fax | 402-559-3499
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 204E00000X
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Taxonomy Name | Oral & Maxillofacial Surgery (D.M.D.)
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License Number | 189318
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | D10901
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License Number State | OR
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