Provider Demographics
NPI:1952318255
Name:BRYANT, ALAN R (DDS)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:R
Last Name:BRYANT
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 1:8226 DOUGLAS AVE
Mailing Address - Street 2:#857
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75225-5943
Mailing Address - Country:US
Mailing Address - Phone:214-363-4488
Mailing Address - Fax:
Practice Address - Street 1:8226 DOUGLAS AVE
Practice Address - Street 2:#857
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75225-5943
Practice Address - Country:US
Practice Address - Phone:214-363-4488
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX95751223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice