National Provider Identifier Database

BRAD BRYANDMD PA
General Practice

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.


Contact Information

BRAD BRYAN,DMD, PA
2801 S OLIVE ST
PINE BLUFF, AR71603
Phone: 770-916-9000
Fax: 678-302-7485
Website:
Specialty Taxonomy Code
* General Practice 1223G0001X
Endodontics 1223E0200X
Oral and Maxillofacial Surgery 1223S0112X

* Indicates primary specialty

NPI Profile & details for BRAD BRYAN,DMD, PA

NPI Number 1093905465
Legal business name
LBN
BRAD BRYAN,DMD, PA
Authorized official DALE MAYFIELD - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 07/31/2007
Last updated 01/04/2019 - About 7 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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