Organization
DAVID BRYANT DDS PLLC
Active
Other names
South Shore Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID WAYNE BRYANT DDS (OWNER)
(461) 755-8737
Entity
Organization
Contact information
Practice address
1525 RALEIGH ST, STE 130, DENVER, CO 80204
(281) 755-8737
(866) 892-0774
Mailing address
1525 RALEIGH ST, STE 130, DENVER, CO 80204
(281) 755-8737
(866) 892-0774
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN.00010632
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1528329752
NPI TYPE 1
CO
Enumeration date
10/04/2016
Last updated
10/04/2016
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