Provider Demographics
NPI:1053559716
Name:WEBLEY, WILLIAM BRETT (DDS)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:BRETT
Last Name:WEBLEY
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11802 EVERGREEN WAY STE 104
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98204-4620
Mailing Address - Country:US
Mailing Address - Phone:425-405-7301
Mailing Address - Fax:425-405-7298
Practice Address - Street 1:11802 EVERGREEN WAY STE 104
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98204-4620
Practice Address - Country:US
Practice Address - Phone:425-405-7301
Practice Address - Fax:425-405-7298
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-03
Last Update Date:2015-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA57977122300000X
WA60147157122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist