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DR. WILLIAM BAILEY PRUDEN III D.M.D.
NPI 1215058185
Dentist in West Branch, MI

Active since April 02, 2007PECOS Enrolled
628 PROGRESS ST STE 200, WEST BRANCH, MI 48661(989) 343-1496(989) 343-1498 Get Directions Write a Review

NPPES record last updated: December 8, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. William Bailey Pruden Iii D.m.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. WILLIAM BAILEY PRUDEN III D.M.D. (NPI 1215058185) is an individual dentist in West Branch, Michigan, licensed in Michigan (2901020828) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215058185
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. WILLIAM BAILEY PRUDEN IIICredential: D.M.D.
Location Address628 PROGRESS ST STE 200West Branch, MI 48661-9383
Mailing Address3434 M 119, Ste HHarbor Springs, MI 49740-9373 · (231) 251-9083 · Fax (231) 308-5941
Phone(989) 343-1496
Fax(989) 343-1498
Sole ProprietorNo
Enumeration DateApril 2, 2007
Last NPPES UpdateDecember 8, 2021
NPPES CertifiedDecember 8, 2021
✔ NPI 1215058185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MI · 2901020828
Definition
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 requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 0401008656 (VA)
628 PROGRESS ST STE 200, West Branch, MI 48661
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Other Identifiers 1

Medicaid7708VA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. William Bailey Pruden Iii D.m.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48661 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is William Pruden's NPI number?

The NPI number for William Pruden is 1215058185. It was assigned to this individual provider in the NPPES registry on April 2, 2007.

Where is William Pruden located?

William Pruden practices at 628 Progress St Ste 200, West Branch, MI 48661. The listed phone number is (989) 343-1496.

What is William Pruden's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is William Pruden enrolled in Medicare?

Yes. William Pruden is registered in the Medicare PECOS enrollment system.

What insurance does William Pruden accept?

Health plans from BEST Life, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 8 other insurers list William Pruden as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for William Pruden was last updated on December 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.