Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRUCE MOSBY WILLIAMS, D.D.S
Deactivated Sole ProprietorDR. BRUCE MOSBY WILLIAMS, D.D.S is a Dentist healthcare provider located in SHAKOPEE, Minnesota. NPI 1609989961 is deactivated in the NPPES registry. Verify at CMS.
Dentist · SHAKOPEE, MN
This NPI has been deactivated.
The record was deactivated on September 15, 2022.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1609989961
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 17, 2006 (16.079452054795 yrs)
- Last Updated
- Jan 30, 2026
- Deactivated
- Sep 15, 2022
- Licenses
-
2025012199 (MO)D15402 (MN)4946 (OK)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1759 17TH AVE ESHAKOPEE, MN, 553793372Browse MN providers · Browse ZIP 55379
- Phone
- 2175408250
- Primary Specialty
-
Dentist
122300000X
- Additional Specialty
- Dentist
- Additional Specialty
- General Dentistry
Other Dentist Providers in SHAKOPEE, MN
| Name | Credential | NPI |
|---|---|---|
| DR. JAMES SCOTT PERRY | DDS | 1144221276 |
| DR. JODY J O'BRIEN | D.D.S. | 1538151725 |
| DAVID CLAYTON ECKART | DDS | 1326116179 |
| HOLLY MARIE MCMAHON | DDS | 1205129202 |
| JASON LANE | DDS | 1861802910 |
| DR. MIRANDA JOY MULLIGAN | DDS | 1073961157 |
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.