# MEADOWLARK DENTAL ASSOCIATES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Michael J Bryson DDS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205912482
- **Authorized official:** DR. MICHAEL J BRYSON DDS (OWNER)
- **Authorized official phone:** (308) 234-3668

## Contact information

- **Practice address:** 2907 W 37TH ST, STE B, KEARNEY, NE 68845
- **Practice address phone:** (308) 234-3668
- **Practice address fax:** (308) 237-5491
- **Mailing address:** 2907 W 37TH ST, STE B, KEARNEY, NE 68845
- **Mailing address phone:** (308) 234-3668
- **Mailing address fax:** (308) 237-5491

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 4638 | NE | — |
| 122300000X | Dentist | 6300 | NE | Yes |

## Other

- **Enumeration date:** 10/31/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 10025205200 | — | NJ |