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NPI Code Detail

MEDICARE: DR. MELINDA BRYANT DMD

MEDICARE: DR. MELINDA BRYANT DMD
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
11223G0001XGeneral Practice DentistryDN1857602MA

General Provider Information

NPI Number : 1043749716
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MELINDA BRYANT DMD
Provider Business Mailing Address
First Line : 2 DOWNEY PL
Second Line :
City : HOPKINTON
State : MA
Zip : 01748-2756
Country : US
Telephone Number : 508-259-0400
Fax Number :
Provider Business Practice Location Address
First Line : 169 W MAIN ST
Second Line :
City : HOPKINTON
State : MA
Zip : 01748-2175
Country : US
Telephone Number : 508-435-9391
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/07/2017
Last Update Date : 03/17/2018

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Directions to “ DR. MELINDA BRYANT DMD” Practice Location

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