Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1437285798 Individual Practitioner Female Practitioner

Dr. Mary E. Williard , DDS

Dentist • Coos Bay, OR

Professional Overview & Biography Verified Profile Summary

Dr. Mary Williard, DDS is a registered healthcare professional specializing in Dentist in Coos Bay, OR. Practice services are available at 1245 FULTON AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1245 Fulton Ave

Coos Bay, OR 974202895

Telephone 5418886433
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Coos Bay, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.2 Yrs
Regional Practice Density
17 Specialists

Practicing in Coos Bay, OR (1289 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

CMS Verified: 2024-10-14
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License AK 1151

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.

Dentist

NUCC Taxonomy Code: 122300000X

State License OR D11929

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
DD16151 (AK)
Medicaid State Provider ID
500797447 (OR)

Practice Associates & Co-Workers

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

8 Associated Practitioners
NPI 1053486696

Doctor of Dental Medicine

Naomi Petrie

Technician, Other

NPI 1215451661
Patricia Peyton , RDH

Dental Hygienist

NPI 1225229131

Registered Dental Hygienist

Marissa Gardner

Technician, Other

NPI 1306332010
NPI 1396113007
NPI 1518342179

Doctor of Dental Medicine

Career & Practice History Timeline

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

12 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 14, 2024

Dentist (License #D11929 in OR)

📍
Updated Practice Location July 18, 2024

Registered at 1245 FULTON AVE, COOS BAY, OR 974202895 (Tel: 5418886433)

📍
Updated Business Mailing Address July 18, 2024

Registered at 1245 FULTON AVE, COOS BAY, OR 974202895 (Tel: 5418886433)

📍
Updated Practice Location December 08, 2021

Registered at 630 MILUK DR, COOS BAY, OR 974207728 (Tel: 9073822188)

📍
Updated Business Mailing Address September 29, 2021

Registered at 630 MILUK DR, COOS BAY, OR 974207728 (Tel: 5419823414)

📍
Updated Practice Location July 15, 2020

Registered at 4200 LAKE OTIS PKWY STE 204, ANCHORAGE, AK 995085226 (Tel: 9073822188)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 4201 TUDOR CENTRE DR, SUITE 320, ANCHORAGE, AK 995085904 (Tel: 9073176070)

📍
Updated Business Mailing Address July 08, 2007

Registered at 4201 TUDOR CENTRE DR, SUITE 320, ANCHORAGE, AK 995085904 (Tel: 9073176070)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MARY WILLIARD, DDS

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

Dentist (License #1151 in AK)

🟢
Initial NPI Registration & Enumeration February 23, 2007

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: 1437285798
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 23, 2007
Last Update: October 14, 2024
Sole Proprietor: No

Mailing Address

1245 Fulton Ave

Coos Bay, OR 974202895

Phone: 5418886433

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.