Henry Gasson Bryan in Roseville - Oral And Maxillofacial Surgery
Henry Gasson Bryan - NPI 1992739379
Henry Gasson Bryan is a Oral And Maxillofacial Surgery in Roseville, Michigan. Henry Gasson Bryan practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Henry Gasson Bryan is 1992739379. The last update date is 2008-04-11.
Henry Gasson Bryan's current location address is 20805 E 12 Mile Rd, Roseville, Michigan. You can contact this provider via phone number 5867782100 and fax number 5867782422. The mailing address for Henry Gasson Bryan is 20805 E 12 Mile Rd, Roseville, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Henry Gasson Bryan |
|---|---|
| Address | 20805 E 12 Mile Rd, Roseville, Michigan |
| Phone Number | 5867782100 |
| Fax Number | 5867782422 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1992739379 |
|---|---|
| Provider Enumeration Date | 2006-07-10 |
| Last Updated Date | 2008-04-11 |
Provider Mailing Address Detail
| Address | 20805 E 12 Mile Rd |
|---|---|
| City | Roseville |
| State | Michigan (MI) |
| Post Code | 480666502 |
| Phone Number | 5867782100 |
| Fax Number | 5867782422 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | HB014814 |
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Definition: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2932746 | MI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Henry Gasson Bryan by the Centers for Medicare & Medicaid Services (CMS)?
The Henry Gasson Bryan has been assigned the NPI (National Provider Identifier) 1992739379. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Henry Gasson Bryan's facilities are geographically located?
The facilities of Henry Gasson Bryan are physically situated at the following location: 20805 E 12 Mile Rd, Roseville, MI, 480666502.
What is Henry Gasson Bryan's area of expertise and its corresponding taxonomy classification?
The Henry Gasson Bryan's field of specialization is Oral And Maxillofacial Surgery, and it falls under the taxonomy code 1223S0112X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1992739379 to Henry Gasson Bryan?
The Henry Gasson Bryan received its 1992739379 assignment from the Centers for Medicare & Medicaid Services on 2006-07-10.
As of what date were the details related to Henry Gasson Bryan most recently updated or revised?
The information pertaining to Henry Gasson Bryan, including its address, specialty, and other relevant details, was last updated or revised on 2008-04-11.