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Deactivated NPI 1558353482 Deactivated / Inactive NPI Male Practitioner

Dr. Bradford Raymond Williams , DDS

Dentist - General Practice • Skiatook, OK

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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. Bradford Williams has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 17, 2005
NPI Deactivation Date April 03, 2006
Total Practice Duration ~1 Years of Practice (2005 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. Bradford Williams, DDS was a registered Dentist - General Practice practicing in Skiatook, OK. Throughout an active medical career spanning 1 years, Dr. Williams provided care at the practice location at 1400 W 4TH ST until profile deactivation on 2006-04-03.

Practice Location & Contact Primary Location

Practice Address

1400 W 4th St

Skiatook, OK 740703927

Telephone 9183963711
Fax 9183961062
Associated Practice Facility / Clinic
🏢 Dental Excellence Pc Facility NPI 1043325061

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Skiatook, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 17.8 Yrs
Regional Practice Density
4 Specialists

Practicing in Skiatook, OK (1496 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License OK 4393

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Bradford Williams , DDS

Dentist - General Practice

NPI 1730400094

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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Updated Practice Location July 08, 2007

Registered at 1400 W 4TH ST, SKIATOOK, OK 740703927 (Tel: 9183963711)

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Updated Business Mailing Address July 08, 2007

Registered at PO BOX 1090, SKIATOOK, OK 740705090 (Tel: 9183963711)

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Provider Name / Credentials Updated July 08, 2007

Recorded as BRADFORD WILLIAMS, D.D.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #4393 in OK)

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NPI Profile Reactivated April 11, 2006

Record officially reactivated for active practice on April 11, 2006

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NPI Profile Deactivated April 03, 2006

Record deactivated on April 03, 2006

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Initial NPI Registration & Enumeration August 17, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1558353482
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 17, 2005
Last Update: July 13, 2026
Deactivation Date: April 03, 2006
Sole Proprietor: No

Mailing Address

Po Box 1090

Skiatook, OK 740705090

Phone: 9183963711

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.