Provider Demographics
NPI:1679599740
Name:PREUSSNER-BRYANT, BARBARA ANN (DMD)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:ANN
Last Name:PREUSSNER-BRYANT
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:BARBARA
Other - Middle Name:BARBARA
Other - Last Name:PREUSSNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:479 WASHINGTON ST STE 2
Mailing Address - Street 2:
Mailing Address - City:HOLLISTON
Mailing Address - State:MA
Mailing Address - Zip Code:01746-1828
Mailing Address - Country:US
Mailing Address - Phone:508-429-7125
Mailing Address - Fax:508-429-2018
Practice Address - Street 1:479 WASHINGTON ST STE 2
Practice Address - Street 2:
Practice Address - City:HOLLISTON
Practice Address - State:MA
Practice Address - Zip Code:01746-1828
Practice Address - Country:US
Practice Address - Phone:508-429-7125
Practice Address - Fax:508-429-2018
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA171801223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice