Organization
R. ROGER BRYANT JR., DMD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROY ROGER BRYANT JR. DMD (PRESIDENT)
(864) 968-0900
Entity
Organization
Contact information
Practice address
3115G BRUSHY CREEK RD, GREER, SC 29650-0903
(864) 968-0900
(864) 968-0100
Mailing address
3115G BRUSHY CREEK RD, GREER, SC 29650-0903
(864) 968-0900
(864) 968-0100
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
4021
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZA9474
—
SC
Enumeration date
07/28/2006
Last updated
08/22/2020
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