Sunnybrook Dentistry
LBN: Brad Bryan,Dmd, Pa
Sunnybrook Dentistry is an health care organization with primary practice located at 2801 S Olive St , Pine Bluff AR 71603. The organization recently has 3 registered licenses in different health care specialties including Dental Providers / Endodontics, Dental Providers / General Practice, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / General Practice is the primary health care specialty.
Brad Bryan,Dmd, Pa can be contacted via phone (770) 916-9000, or through Mayfield, Dale via phone (770) 916-5036.
Contact Information
Primary practice address
2801 S Olive St
Pine Bluff AR 71603
Phone: (770) 916-9000
Fax: (678) 302-7485
Website:
Authorized official contact:
Name: Mayfield, Dale Doctor of Dental Medicine (DMD)
Phone: (770) 916-5036
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Endodontics | 1223E0200X | ||
Dental Providers / General Practice | 1223G0001X | ||
Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X |
Profile Details
NPI number | 1093905465 |
---|---|
LBN Legal business name | Brad Bryan,Dmd, Pa |
DBA Doing business as | Sunnybrook Dentistry |
Authorized official | Mayfield, Dale Doctor of Dental Medicine (DMD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jul 31st, 2007 |
Last updated | Jan 4th, 2019 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
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