Individual
THOMAS EDWARD BRYAN III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
300 MAIN ST STE 102, ST SIMONS ISLAND, GA 31522-1666
(912) 638-9946
Mailing address
213 HERMITAGE WAY, ST SIMONS ISLAND, GA 31522-1702
(912) 638-9946
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN014951
GA
Other
Enumeration date
07/09/2015
Last updated
07/09/2015
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