Dr. Bruce Mosby Williams , DDS
Dentist • Shakopee, MN
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Bruce Williams has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Bruce Williams, DDS was a registered Dentist practicing in Shakopee, MN. Throughout an active medical career spanning 16 years, Dr. Williams provided care at the practice location at 1759 17TH AVE E until profile deactivation on 2022-09-15.
Practice Location & Contact Primary Location
1759 17th Ave E
Shakopee, MN 553793372
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist in Shakopee, MN
Practicing in Shakopee, MN (1863 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
CMS Verified: 2026-01-30NUCC Taxonomy Code: 122300000X
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
NUCC Taxonomy Code: 122300000X
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
NUCC Taxonomy Code: 1223G0001X
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Secondary Practice Locations
3177 E 146th Pl S
Bixby, OK 740088046
Phone: 4056279113
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Dentist
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Registered at 8603 NORTH OAK TRAFFIC WAY, KANSAS CITY, MO 64155 (Tel: 4056279113)
Dentist (License #2025012199 in MO)
Registered at 1759 17TH AVE E, SHAKOPEE, MN 553793372 (Tel: 2175408250)
Registered at 1759 17TH AVE E, SHAKOPEE, MN 553793372 (Tel: 4056279113)
Dentist (License #D15402 in MN)
Record officially reactivated for active practice on September 30, 2022
Record deactivated on September 15, 2022
NPI status registered as active in NPPES database
Registered at 3177 E 146TH PL S, BIXBY, OK 740088046 (Tel: 4056279113)
Registered at 3177 E 146TH PL S, BIXBY, OK 740088046 (Tel: 4056279113)
Recorded as BRUCE WILLIAMS, D.D.S
Dentist (License #4946 in OK)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
8603 North Oak Traffic Way
Kansas City, MO 64155
Phone: 4056279113
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