Individual
SIDNEY M WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4455 CORDATA PKWY, BELLINGHAM, WA 98226-8037
(360) 671-3225
(360) 671-0000
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
(206) 764-0112
(206) 764-0489
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00008880
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0175786
STATE LABOR AND INDUSTRIE
WA
01
—
2854WI
REGENCE BLUE SHIELD
WA
05
—
5044680
—
WA
Enumeration date
10/27/2006
Last updated
07/09/2007
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