| Larry W. Bryant Dds, Pc | |
|
12200 Annapolis Rd Suite 236-240 Glenn Dale MD 20769-9182 | |
| (301) 249-0553 | |
| (301) 249-0555 |
| Full Name | Larry W. Bryant Dds, Pc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 12200 Annapolis Rd, Glenn Dale, Maryland |
| Authorized Official Name and Position | Larry Winfred Bryant (OWNER) |
| Authorized Official Contact | 3012490553 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Larry W. Bryant Dds, Pc 12200 Annapolis Rd Suite 236-240 Glenn Dale MD 20769-9182 Ph: (301) 249-0553 | Larry W. Bryant Dds, Pc 12200 Annapolis Rd Suite 236-240 Glenn Dale MD 20769-9182 Ph: (301) 249-0553 |
| NPI Number | 1194092148 |
|---|---|
| Provider Enumeration Date | 11/18/2011 |
| Last Update Date | 04/14/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194092148 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 07738 (Maryland) | Primary |
Smile Hq Mitchellville Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 12150 Annapolis Rd Ste 301, Glenn Dale, MD 20769 Phone: 301-202-3499 | |
Mitchellville Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 12150 Annapolis Road, Suite 301, Glenn Dale, MD 20769 Phone: 301-249-8000 Fax: 301-249-4958 |