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General NPI Number Information
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NPI Number | 1659479574
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Entity Type | Organization
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Legal Business Name | DONNIE R. BRYANT, DDS, PLLC
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Dates
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Enumeration Date | 09/21/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 105 W CHURCH ST
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City | WARREN
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State | AR
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Zip | 71671-2809
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Country | US
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Telephone | 870-226-6556
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Fax | 870-226-6150
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Provider Business Mailing Address
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Address Line | 105 W CHURCH ST
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City | WARREN
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State | AR
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Zip | 71671-2809
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Country | US
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Telephone | 870-226-6556
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Fax | 870-226-6150
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Authorized Official
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Title or Position | DDS/PARTNER
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Name | DONNIE BRYANT
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Credential | D.D.S.
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Telephone | 870-226-6556
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 3480
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 2181
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License Number State | AR
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