Bryant, Walter Robert
Bryant, Walter Robert is an sole proprietor health care provider with primary practice located at 1173 Spring Centre South Blvd Suite A, Altamonte Springs FL 32714-1976. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Bryant, Walter Robert can be contacted via phone (407) 628-9523.Contact Information
Primary practice address
1173 Spring Centre South Blvd Suite A
Altamonte Springs FL 32714-1976
Phone: (407) 628-9523
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | DN8121 | Florida |
Profile Details
| NPI number | 1073723003 |
|---|---|
| LBN Legal business name | Bryant, Walter Robert |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 22nd, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073723003 | NPPES |
| Florida | MEDICAID | 070427000 |
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