Provider Demographics
NPI:1457825382
Name:GEE, BRYCE CARRINGTON (DMD)
Entity Type:Individual
Prefix:
First Name:BRYCE
Middle Name:CARRINGTON
Last Name:GEE
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:522 HANCOCK AVE APT 138
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78404-2378
Mailing Address - Country:US
Mailing Address - Phone:407-967-6573
Mailing Address - Fax:
Practice Address - Street 1:735 OAK PARK AVE
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78408-2840
Practice Address - Country:US
Practice Address - Phone:361-883-3993
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-14
Last Update Date:2021-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMDD5250122300000X
NV71381223G0001X
TX377161223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist