Provider Demographics
NPI:1992165963
Name:WILLIAMS, BRYANA (DDS)
Entity type:Individual
Prefix:DR
First Name:BRYANA
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:F
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:PO BOX 860036
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55486-0036
Mailing Address - Country:US
Mailing Address - Phone:336-724-1235
Mailing Address - Fax:
Practice Address - Street 1:7201 WISCONSIN AVE STE 370
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-4846
Practice Address - Country:US
Practice Address - Phone:301-264-5015
Practice Address - Fax:301-264-5014
Is Sole Proprietor?:No
Enumeration Date:2016-03-03
Last Update Date:2021-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC104651223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice