Brad Bryan,dmd, PA
NPI #1093905465 in Pine Bluff, Arkansas
Provider Information
- NPI Number
- 1093905465
- Entity Type
- Organization
- Organization Name
- Brad Bryan,dmd, PA
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jul 31, 2007
- Last Updated
- Jan 4, 2019
Practice Location
- Address
- 2801 S OLIVE ST
- City
- Pine Bluff
- State
- Arkansas
- ZIP Code
- 71603
- Phone
- (770) 916-9000
Authorized Official
- Name
- DALE MAYFIELD, DMD
- Title
- PRESIDENT
- Phone
- (770) 916-5036
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Endodontics — Endodontics |
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
| Dentist - General Practice — General Practice |
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