Bryan, Henry Gasson

Bryan, Henry Gasson is an sole proprietor health care provider with primary practice located at 20805 E 12 Mile Rd Suite 110, Roseville MI 48066-6502. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery is his primary health care specialty. Bryan, Henry Gasson can be contacted via phone (586) 778-2100.

Contact Information

Primary practice address
20805 E 12 Mile Rd Suite 110 Roseville MI 48066-6502
Phone: (586) 778-2100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X HB014814 Michigan
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X HB014814 Michigan

Profile Details

NPI number 1992739379
LBN Legal business name Bryan, Henry Gasson
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 10th, 2006
Last updated Apr 11th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992739379 NPPES
Michigan MEDICAID 2932746

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