Organization
JAMES G BRYANT DMD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES GREGORY BRYANT DMD (OWNER)
(304) 598-2012
Entity
Organization
Contact information
Practice address
5000 HAMPTON CTR STE 1, MORGANTOWN, WV 26505-1709
(304) 598-2012
(304) 598-2018
Mailing address
5000 HAMPTON CTR STE 1, MORGANTOWN, WV 26505-1709
(304) 598-2012
(304) 598-2018
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
3341
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8000014000
—
WV
Enumeration date
10/22/2010
Last updated
10/22/2010
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