| Bryan Dental Group PLLC | |
|
1710 Briarcrest Dr Ste 111 Bryan TX 77802-2871 | |
| (979) 704-6408 | |
| Not Available |
| Full Name | Bryan Dental Group PLLC |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1710 Briarcrest Dr Ste 111, Bryan, Texas |
| Authorized Official Name and Position | Brian S Black (DENTIST/OWNER) |
| Authorized Official Contact | 9796958000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bryan Dental Group PLLC 1710 Briarcrest Dr Ste 111 Bryan TX 77802-2871 Ph: (979) 704-6408 | Bryan Dental Group PLLC 1710 Briarcrest Dr Ste 111 Bryan TX 77802-2871 Ph: (979) 704-6408 |
| NPI Number | 1851147367 |
|---|---|
| Provider Enumeration Date | 04/25/2024 |
| Last Update Date | 04/25/2024 |
| Certification Date | 04/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851147367 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | () | Primary |
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John H. Case D.D.S., M.S., P.L.L.C. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1326 Memorial Dr, Bryan, TX 77802 Phone: 979-776-8100 Fax: 979-776-8123 |
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