Bagley, William Ryan

Bagley, William Ryan is an individual health care provider with primary practice located at 4904 Convention Dr , Pasco WA 99301. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Bagley, William Ryan can be contacted via phone (509) 547-1631.

Contact Information

Primary practice address
4904 Convention Dr Pasco WA 99301
Fax: (509) 547-3885
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DE009032 Washington

Profile Details

NPI number 1841334760
LBN Legal business name Bagley, William Ryan
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2007
Last updated Jul 9th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841334760 NPPES
Washington MEDICAID 5050430

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