Individual
MR. BRYAN D BYRNSIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
40 W. CALDWELL STREET, SUITE 202, MOUNT JULIET, TN 37122
(615) 758-7511
(615) 827-0202
Mailing address
40 W CALDWELL ST, SUITE 202, MOUNT JULIET, TN 37122-2910
(615) 758-7511
(615) 827-0202
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
8371
TN
1223P0221X
Pediatric Dentistry
DS8371
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1511981
—
TN
Enumeration date
12/05/2006
Last updated
05/13/2013
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