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
Phone: (615) 758-7511
Fax: (615) 827-0202
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1417015082 | NPPES |
Tennessee | MEDICAID | 1511981 |
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