Provider Demographics
NPI:1629173422
Name:CROPPER, BRYAN CURTIS (DMD)
Entity Type:Individual
Prefix:DR
First Name:BRYAN
Middle Name:CURTIS
Last Name:CROPPER
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 1:811 GRANT ST
Mailing Address - Street 2:
Mailing Address - City:DOUGLAS
Mailing Address - State:WY
Mailing Address - Zip Code:82633-2920
Mailing Address - Country:US
Mailing Address - Phone:307-358-5190
Mailing Address - Fax:307-358-3980
Practice Address - Street 1:811 GRANT ST
Practice Address - Street 2:
Practice Address - City:DOUGLAS
Practice Address - State:WY
Practice Address - Zip Code:82633-2920
Practice Address - Country:US
Practice Address - Phone:307-358-5190
Practice Address - Fax:307-358-3980
Is Sole Proprietor?:No
Enumeration Date:2006-09-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY11391223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice