Provider Demographics
NPI:1295421931
Name:STRONG, BRYNA ADINA (DMD)
Entity type:Individual
Prefix:DR
First Name:BRYNA
Middle Name:ADINA
Last Name:STRONG
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:BRYNA
Other - Middle Name:ADINA
Other - Last Name:MARTINEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:56 CYPRESS CIR
Mailing Address - Street 2:
Mailing Address - City:SANTA ROSA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32459-8577
Mailing Address - Country:US
Mailing Address - Phone:205-520-6470
Mailing Address - Fax:
Practice Address - Street 1:516 1ST ST STE J
Practice Address - Street 2:
Practice Address - City:ALAMOGORDO
Practice Address - State:NM
Practice Address - Zip Code:88310-6511
Practice Address - Country:US
Practice Address - Phone:575-214-3222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-14
Last Update Date:2024-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL281931223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice