Provider Demographics
NPI:1932886447
Name:DR. BRYAN T SOLT DDS PC
Entity Type:Organization
Organization Name:DR. BRYAN T SOLT DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SOLT
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:586-726-6940
Mailing Address - Street 1:51772 VAN DYKE AVE
Mailing Address - Street 2:
Mailing Address - City:SHELBY TWP
Mailing Address - State:MI
Mailing Address - Zip Code:48316-4450
Mailing Address - Country:US
Mailing Address - Phone:586-726-6940
Mailing Address - Fax:586-726-8449
Practice Address - Street 1:51772 VAN DYKE AVE
Practice Address - Street 2:
Practice Address - City:SHELBY TWP
Practice Address - State:MI
Practice Address - Zip Code:48316-4450
Practice Address - Country:US
Practice Address - Phone:586-726-6940
Practice Address - Fax:586-726-8449
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-28
Last Update Date:2023-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental