Byrnside, Bryan D

Byrnside, Bryan D is an individual health care provider with primary practice located at 40 W. Caldwell Street Suite 202, Mount Juliet TN 37122. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Byrnside, Bryan D can be contacted via phone (615) 758-7511.

Contact Information

Primary practice address
40 W. Caldwell Street Suite 202 Mount Juliet TN 37122
Fax: (615) 827-0202
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X DS8371 Tennessee
Dental Providers / Pediatric Dentistry 1223P0221X 8371 Tennessee

Profile Details

NPI number 1417015082
LBN Legal business name Byrnside, Bryan D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2006
Last updated May 13th, 2013 - about 12 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 1417015082 NPPES
Tennessee MEDICAID 1511981

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