Provider Demographics
NPI:1013073550
Name:BRYMER, MICHAEL M (DDS)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:M
Last Name:BRYMER
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 1:157 CYPRESSWOOD DR
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77388-6038
Mailing Address - Country:US
Mailing Address - Phone:281-350-6677
Mailing Address - Fax:281-350-6688
Practice Address - Street 1:157 CYPRESSWOOD DR
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77388-6038
Practice Address - Country:US
Practice Address - Phone:281-350-6677
Practice Address - Fax:281-350-6688
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-29
Last Update Date:2007-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX183471223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice