Bryant, Michael

Bryant, Michael is an individual health care provider with primary practice located at 7147 Security Blvd Ste 100 , Windsor Mill MD 21244-1811. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Bryant, Michael can be contacted via phone (443) 200-2915.

Contact Information

Primary practice address
7147 Security Blvd Ste 100 Windsor Mill MD 21244-1811
Fax: (443) 200-3827
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 12506 Maryland

Profile Details

NPI number 1346399649
LBN Legal business name Bryant, Michael
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2007
Last updated Nov 2nd, 2023 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1346399649 NPPES
Maryland MEDICAID 1134329121

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