Provider Demographics
NPI:1578058103
Name:ASH, BRYANT DONALD (DDS)
Entity Type:Individual
Prefix:DR
First Name:BRYANT
Middle Name:DONALD
Last Name:ASH
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 1:122 RUGBY PL
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22603-4231
Mailing Address - Country:US
Mailing Address - Phone:540-550-0705
Mailing Address - Fax:
Practice Address - Street 1:11 MEADOW BRANCH AVE
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601-6255
Practice Address - Country:US
Practice Address - Phone:540-698-3384
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-26
Last Update Date:2021-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014161041223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice