Provider Demographics
NPI:1124196068
Name:BRYINGTON, SCOTT QUAY (DDS)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:QUAY
Last Name:BRYINGTON
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29508 CHAPEL PARK DR
Mailing Address - Street 2:
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33543-4496
Mailing Address - Country:US
Mailing Address - Phone:813-994-5717
Mailing Address - Fax:
Practice Address - Street 1:37153 STATE ROAD 54 WEST
Practice Address - Street 2:
Practice Address - City:ZEPHYRHILLS
Practice Address - State:FL
Practice Address - Zip Code:33542
Practice Address - Country:US
Practice Address - Phone:813-788-0451
Practice Address - Fax:813-788-4190
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL89281223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice