Provider Demographics
NPI:1164032090
Name:LYMAN, BRETT TAYLOR (DDS)
Entity Type:Individual
Prefix:DR
First Name:BRETT
Middle Name:TAYLOR
Last Name:LYMAN
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 1:517 E 30TH AVE STE G
Mailing Address - Street 2:
Mailing Address - City:HUTCHINSON
Mailing Address - State:KS
Mailing Address - Zip Code:67502-8452
Mailing Address - Country:US
Mailing Address - Phone:620-663-9136
Mailing Address - Fax:866-453-3079
Practice Address - Street 1:517 E 30TH AVE STE G
Practice Address - Street 2:
Practice Address - City:HUTCHINSON
Practice Address - State:KS
Practice Address - Zip Code:67502-8452
Practice Address - Country:US
Practice Address - Phone:620-663-9136
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-05
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS616911223G0001X, 122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice