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General NPI Number Information
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NPI Number | 1124615232
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Entity Type | Organization
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Legal Business Name | BRYANT S. GREENE, DMD, PLLC
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Dates
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Enumeration Date | 12/22/2020
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Last Update Date | 12/22/2020
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Provider Practice Location Address
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Address Line | 131 E MAIN ST STE A
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City | BURNSVILLE
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State | NC
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Zip | 28714-2968
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Country | US
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Telephone | 828-682-2979
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Fax |
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Provider Business Mailing Address
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Address Line | 331 OLD MARSHALL HWY
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City | ASHEVILLE
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State | NC
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Zip | 28804-9718
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. BRYANT S. GREENE
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Credential | DMD
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Telephone | 828-467-9362
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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