# LARRY W. BRYANT DDS, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Larry W. Bryant DDS, PC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194092148
- **Authorized official:** DR. LARRY WINFRED BRYANT DDS (OWNER)
- **Authorized official phone:** (301) 249-0553

## Contact information

- **Practice address:** 12200 ANNAPOLIS RD, SUITE 236-240, GLENN DALE, MD 20769-9182
- **Practice address phone:** (301) 249-0553
- **Practice address fax:** (301) 249-0555
- **Mailing address:** 12200 ANNAPOLIS RD, SUITE 236-240, GLENN DALE, MD 20769-9182
- **Mailing address phone:** (301) 249-0553
- **Mailing address fax:** (301) 249-0555

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 07738 | MD | Yes |

## Other

- **Enumeration date:** 11/18/2011
- **Last updated:** 04/14/2016