Individual provider · Type 1 NPI

William R. Brodie, DMD

Dentist · Jacksonville, OR

NPI number 1770581027 Active · reactivated Mar 21, 2006

Practice location

305 Shafer Ln
Jacksonville, OR 97530-9681

Fax (541) 899-1769

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X4502 (OR)

Dentist: 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 requiremen…

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About NPI 1770581027

William R. Brodie, DMD's National Provider Identifier is 1770581027, issued on Jul 11, 2005. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Jacksonville, OR. The record was last updated on Jul 13, 2026.