# BRIANNA MICHELE GANSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1235494964
- **Gender:** F
- **Credential:** D.D.S.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 2014004314 | MO | — |
| 1223G0001X | General Practice Dentistry | 60829 | KS | Yes |

## Other

- **Enumeration date:** 07/09/2012
- **Last updated:** 12/08/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1235494964 | — | MO |
| 05 | — | 201112750A | — | KS |
| 05 | — | 40012248 | — | MO |