Organization
W BRADFORD HEPWORTH DDS MD MS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM B HEPWORTH MD, DDS, MS (PRESIDENT)
(206) 842-8135
Entity
Organization
Contact information
Practice address
380 ERICKSEN AVE NE, BAINBRIDGE ISLAND, WA 98110-1854
(206) 842-8135
(206) 842-2501
Mailing address
PO BOX 11680, BAINBRIDGE ISLAND, WA 98110-5680
(206) 842-8135
(206) 842-2501
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
—
—
Other
Enumeration date
06/23/2011
Last updated
07/22/2011
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