| R. Roger Bryant Jr., Dmd, Pa | |
|
3115g Brushy Creek Rd Greer SC 29650-0903 | |
| (864) 968-0900 | |
| (864) 968-0100 |
| Full Name | R. Roger Bryant Jr., Dmd, Pa |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 3115g Brushy Creek Rd, Greer, South Carolina |
| Authorized Official Name and Position | Roy Roger Bryant (PRESIDENT) |
| Authorized Official Contact | 8649680900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| R. Roger Bryant Jr., Dmd, Pa 3115g Brushy Creek Rd Greer SC 29650-0903 Ph: (864) 968-0900 | R. Roger Bryant Jr., Dmd, Pa 3115g Brushy Creek Rd Greer SC 29650-0903 Ph: (864) 968-0900 |
| NPI Number | 1942214861 |
|---|---|
| Provider Enumeration Date | 07/28/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942214861 | NPI | - | NPPES |
| ZA9474 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 4021 (South Carolina) | Primary |
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