Bruce Mosby Williams, D.D.S
NPI 1609989961ActiveIndividual· Dentist· Shakopee, MN
Dentist (D.D.S) in Shakopee, Minnesota, licensed in MO, MN and OK, with an NPI issued in August 2006. Patterson Companies, Inc. reported $30.77 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1609989961 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.D.S |
| Sole proprietor | Yes |
| NPI issued | Aug 17, 2006 |
| Last updated in NPPES | Jan 30, 2026 |
| Certified by provider | Jan 30, 2026 |
| Reactivated | Sep 30, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | 2025012199 | MO |
| Dentist | 122300000X | D15402 | MN |
| Dentist, General Practice | 1223G0001X | 4946 | OK |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Industry payments (Open Payments)
- 2025$30.77 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Patterson Companies, Inc. | $30.77 | 1 |
What the 2025 payments were for
- Food and Beverage$30.77 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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