# BRYAN DENTAL SMILES GROUP PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bryan Dental Smiles Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154810059
- **Authorized official:** OPAL ANDERSON (OPERATIONS MANAGER)
- **Authorized official phone:** (989) 773-9051

## Contact information

- **Practice address:** 1936 S SUMMERTON RD, MOUNT PLEASANT, MI 48858-1109
- **Practice address phone:** (989) 773-9051
- **Mailing address:** 1936 S SUMMERTON RD, MOUNT PLEASANT, MI 48858-1109
- **Mailing address phone:** (989) 773-9051

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 05/07/2018
- **Last updated:** 07/20/2022