Individual
DR. BRYAN A AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3201 CLUB MANOR DR STE A, MAUMELLE, AR 72113-6082
(501) 851-3262
(501) 851-3766
Mailing address
3201 CLUB MANOR DR STE A, MAUMELLE, AR 72113-6082
(501) 851-3262
(501) 851-3766
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
AR3057
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
58662
BCBS
AR
01
—
828326
UCCI
AR
Enumeration date
05/21/2008
Last updated
05/21/2008
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