Bryant, Issa
Bryant, Issa is an sole proprietor health care provider with primary practice located at 1454 Madison Ave W , Immokalee FL 34142-2200. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Student, Health Care / Student in an Organized Health Care Education/Training Program. Dental Providers / Dentist is her primary health care specialty. Bryant, Issa can be contacted via phone (239) 658-3000.Contact Information
Primary practice address
1454 Madison Ave W
Immokalee FL 34142-2200
Phone: (239) 658-3000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | DN28795 | Florida |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X |
Profile Details
| NPI number | 1124729512 |
|---|---|
| LBN Legal business name | Bryant, Issa |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 13th, 2023 |
| Last updated | Jul 2nd, 2024 - about last year |
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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