| James G Bryant Dmd | |
|
5000 Hampton Ctr Ste 1 Morgantown WV 26505-1709 | |
| (304) 598-2012 | |
| (304) 598-2018 |
| Full Name | James G Bryant Dmd |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 5000 Hampton Ctr Ste 1, Morgantown, West Virginia |
| Authorized Official Name and Position | James Gregory Bryant (OWNER) |
| Authorized Official Contact | 3045982012 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| James G Bryant Dmd 5000 Hampton Ctr Ste 1 Morgantown WV 26505-1709 Ph: (304) 598-2012 | James G Bryant Dmd 5000 Hampton Ctr Ste 1 Morgantown WV 26505-1709 Ph: (304) 598-2012 |
| NPI Number | 1023318201 |
|---|---|
| Provider Enumeration Date | 10/22/2010 |
| Last Update Date | 10/22/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023318201 | NPI | - | NPPES |
| 8000014000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 3341 (West Virginia) | Primary |
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