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NPI Code Detail

MEDICARE: DR. ARTHUR WILLIAM BRYANT D.M.D.

MEDICARE: DR. ARTHUR WILLIAM BRYANT D.M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223P0700XProsthodontics21978TX
21223P0700XProsthodontics4565KY

General Provider Information

NPI Number : 1003871005
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ARTHUR WILLIAM BRYANT D.M.D.
Provider Business Mailing Address
First Line : 217 SHERIDAN RD
Second Line :
City : EL PASO
State : TX
Zip : 79906-3803
Country : US
Telephone Number : 915-562-3947
Fax Number :
Provider Business Practice Location Address
First Line : 128 CHAFFEE RD
Second Line :
City : EL PASO
State : TX
Zip : 79906-3811
Country : US
Telephone Number : 915-568-5001
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/20/2006
Last Update Date : 07/08/2007

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