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NPI Code Detail

MEDICARE: MICHAEL BRYANT DDS

MEDICARE:   MICHAEL  BRYANT  DDS
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
11223X0400XOrthodontics and Dentofacial Orthopedics Dentistry12506MD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1346399649
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL BRYANT DDS
Provider Business Mailing Address
First Line : 7147 SECURITY BLVD STE 100
Second Line :
City : WINDSOR MILL
State : MD
Zip : 21244-1811
Country : US
Telephone Number : 443-200-2915
Fax Number : 443-200-3827
Provider Business Practice Location Address
First Line : 7147 SECURITY BLVD STE 100
Second Line :
City : WINDSOR MILL
State : MD
Zip : 21244-1811
Country : US
Telephone Number : 443-200-2915
Fax Number : 443-200-3827
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2007
Last Update Date : 11/02/2023

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Directions to “ MICHAEL BRYANT DDS” Practice Location

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