Individual
BRYCE LAWRENCE HARTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5820 CENTRE AVE STE 200, PITTSBURGH, PA 15206-3710
(412) 661-7690
(412) 661-7695
Mailing address
3001 BRIGHTON ALY, BRIDGEVILLE, PA 15017-4235
(304) 281-8905
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DS041190
PA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
DS041190
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1032791060002
—
PA
05
—
1032791060003
—
PA
05
—
1032791060004
—
PA
05
—
1032791060005
—
PA
Enumeration date
08/28/2016
Last updated
12/04/2024
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