Organization
MEADOWLARK DENTAL ASSOCIATES
Active
Other names
Michael J Bryson DDS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL J BRYSON DDS (OWNER)
(308) 234-3668
Entity
Organization
Contact information
Practice address
2907 W 37TH ST, STE B, KEARNEY, NE 68845
(308) 234-3668
(308) 237-5491
Mailing address
2907 W 37TH ST, STE B, KEARNEY, NE 68845
(308) 234-3668
(308) 237-5491
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
4638
NE
122300000X
Dentist
Primary
6300
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025205200
—
NJ
Enumeration date
10/31/2006
Last updated
08/22/2020
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