Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. WILLIAM R. BRODIE, D.M.D.
DeactivatedMRS. WILLIAM R. BRODIE, D.M.D. is a Dentist healthcare provider located in JACKSONVILLE, Oregon. NPI 1770581027 is deactivated in the NPPES registry. Verify at CMS.
Dentist · JACKSONVILLE, OR
This NPI has been deactivated.
The record was deactivated on March 16, 2006.
Deactivated NPIs are no longer valid for billing or credentialing.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
- 1770581027
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 11, 2005 (0.67945205479452 yrs)
- Last Updated
- Jul 8, 2007
- Deactivated
- Mar 16, 2006
- License
-
4502 (OR)
Practice Information
- Address
-
305 SHAFER LNJACKSONVILLE, OR, 975309681Browse OR providers · Browse ZIP 97530
- Phone
- 5418998833
- Fax
- 5418991769
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in JACKSONVILLE, OR
| Name | Credential | NPI |
|---|---|---|
| DR. DANIEL KAYLIN | D.D.S. | 1760547988 |
| SCOTT W BRODIE | D.M.D. | 1609051713 |
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.