Provider Demographics
NPI:1578686614
Name:WILLIAMS, DOYLE BRADLEY (DDS)
Entity type:Individual
Prefix:DR
First Name:DOYLE
Middle Name:BRADLEY
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5800 COIT RD.
Mailing Address - Street 2:SUITE 800
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75023-5944
Mailing Address - Country:US
Mailing Address - Phone:972-596-9697
Mailing Address - Fax:972-867-4796
Practice Address - Street 1:5800 COIT RD.
Practice Address - Street 2:SUITE 800
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75023-5944
Practice Address - Country:US
Practice Address - Phone:972-596-9697
Practice Address - Fax:972-867-4796
Is Sole Proprietor?:No
Enumeration Date:2007-04-06
Last Update Date:2007-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX122561223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX173259OtherUNITED CONCORDIA
TX85D561OtherFEDERAL BLUE CROSS