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NPI Code Detail

MEDICARE: DR. BRYANT MARSHALL ANDERSON D.M.D

MEDICARE:  DR. BRYANT MARSHALL ANDERSON  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
1122300000XDentistDN 19033FL

General Provider Information

NPI Number : 1700198231
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRYANT MARSHALL ANDERSON D.M.D
Provider Business Mailing Address
First Line : 1435 HOWELL BRANCH RD
Second Line :
City : WINTER PARK
State : FL
Zip : 32789-1157
Country : US
Telephone Number : 407-644-5454
Fax Number :
Provider Business Practice Location Address
First Line : 1435 HOWELL BRANCH RD
Second Line :
City : WINTER PARK
State : FL
Zip : 32789-1157
Country : US
Telephone Number : 407-644-5454
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2010
Last Update Date : 01/19/2024

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Directions to “ DR. BRYANT MARSHALL ANDERSON D.M.D” Practice Location

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