Evelyn Marie Bryan in Manchester - Dentist
Evelyn Marie Bryan - NPI 1720110901
Evelyn Marie Bryan is a Dentist in Manchester, New Hampshire. Evelyn Marie Bryan practices all healthcare services and medical treatments related to Dentist. The NPI Number for Evelyn Marie Bryan is 1720110901. The last update date is 2007-07-08.
Evelyn Marie Bryan's current location address is 765 South Main Street, Manchester, New Hampshire. You can contact this provider via phone number 6036220279 and fax number 6036223542. The mailing address for Evelyn Marie Bryan is 765 South Main Street, Manchester, New Hampshire. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Evelyn Marie Bryan |
|---|---|
| Address | 765 South Main Street, Manchester, New Hampshire |
| Phone Number | 6036220279 |
| Fax Number | 6036223542 |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1720110901 |
|---|---|
| Provider Enumeration Date | 2007-03-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 765 South Main Street |
|---|---|
| City | Manchester |
| State | New Hampshire (NH) |
| Post Code | 3102 |
| Phone Number | 6036220279 |
| Fax Number | 6036223542 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 2508 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique 10-digit identifier code issued to Evelyn Marie Bryan by the Centers for Medicare & Medicaid Services?
The Evelyn Marie Bryan has been assigned the NPI (National Provider Identifier) 1720110901 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Evelyn Marie Bryan is located?
The Evelyn Marie Bryan is situated at the following address: 765 South Main Street, Manchester, NH, 3102.
What is Evelyn Marie Bryan's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Evelyn Marie Bryan's specialized field of practice is Dentist, and the corresponding taxonomy code that categorizes this area of specialization is 122300000X.
On what date did the Evelyn Marie Bryan receive the assignment of its 1720110901 from the Centers for Medicare & Medicaid Services?
The Evelyn Marie Bryan was issued its 1720110901 by the Centers for Medicare & Medicaid Services on 2007-03-12.
As of what date were the details pertaining to Evelyn Marie Bryan last refreshed?
The information related to the Evelyn Marie Bryan, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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