Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. WILLIAM BAILEY PRUDEN III, D.M.D.
ActiveDentist · WEST BRANCH, MI
Registration Details
- NPI Number
- 1215058185
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 2, 2007 (19.096252313095 yrs)
- Last Updated
- Dec 8, 2021
- Licenses
-
0401008656 (VA)2901020828 (MI)
Practice Information
- Address
-
628 PROGRESS ST STE 200WEST BRANCH, MI, 486619383Browse MI providers · Browse ZIP 48661
- Phone
- 9893431496
- Fax
- 9893431498
- Primary Specialty
-
Dentist
122300000X
- Additional Specialty
- Dentist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.