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Contact Information

GARY BRYAN
2038 NC 345 HIGHWAY SOUT
WANCHESE, NC27981
 Phone: 252-473-5774
 Fax: 252-473-3871
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for GARY BRYAN · (Male)

NPI # 1275930091
Status Active
Credentials
Entity Individual
Enumeration date 11/21/2014
Last updated 11/21/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • NC License # 5269
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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