Dr Theodore Paul Bryson, DDS is a
Dentist - General Practice based in Driggs, Idaho. Dr Theodore Paul Bryson is licensed to practice in Idaho (license number D3783) and his current practice location is
30 E. Harper St., Driggs, Idaho. He can be reached at his office (for appointments etc.) via phone at
(208) 354-7878.
NPI number for Dr Theodore Paul Bryson is 1629185178 and his current mailing address is Po Box 1196, Driggs, Idaho. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1629185178.
Healthcare Provider's Profile
| Full Name | Dr Theodore Paul Bryson |
|---|
| Gender | Male |
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| Speciality | Dentist - General Practice |
|---|
| Location | 30 E. Harper St., Driggs, Idaho |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1629185178
- Provider Enumeration Date: 08/23/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Theodore Paul Bryson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629185178 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | D3783 (Idaho) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Theodore Paul Bryson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Theodore Paul Bryson, DDS
Po Box 1196,
Driggs, ID 83422-1196
Ph: (208) 354-7878 | Dr Theodore Paul Bryson, DDS
30 E. Harper St.,
Driggs, ID 83422-5179
Ph: (208) 354-7878 |
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