Bryan T. Persinger DDS PA II

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

BRYAN T. PERSINGER DDS PA II

Doing business as

Waterside Dental Care

Practice address

175 Cross Center Road
Denver, NC 28037

Phone

(704) 951-8300

NPI assigned

Mar 7, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Bryan Todd Persinger, DDSNPI 1619039286

Title

President

Phone

(704) 951-8300

Specialties & licenses 1

Addresses

Other names 1

• Waterside Dental Care Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bryan Todd Persinger, D.D.S.

  • General Practice Dentistry
  • Concord, NC
  • NPI 1619039286
  NPD Authorized official
• Christina Gliwa, DDS

  • General Practice Dentistry
  • Charlotte, NC
  • NPI 1831548106
  NPD (past)
• Molly McCurdy, DDS

  • General Practice Dentistry
  • Denver, NC
  • NPI 1417696287
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1520380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520380800000",
    "number": "1043712854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19628 WEAVERS CIR",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280317534",
            "telephone_number": "704-236-0063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 CROSS CENTER ROAD",
            "city": "DENVER",
            "state": "NC",
            "postal_code": "28037",
            "telephone_number": "704-951-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYAN T. PERSINGER DDS PA II",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-07",
        "last_updated": "2018-03-07",
        "status": "A",
        "authorized_official_last_name": "PERSINGER",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-951-8300",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Waterside Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katherine Bridges, ITFS, QP-P
• Amber Brooks, DDS
• Ryan Scott Brooks, M.D.
• Shannon Kelly Brooks, COTA/L
• Lindsey Marie Brown, LCMHCA
• Amy Viscomi Buchanan, LCMHCA
• Marlisa Bullock-Durham, NP
• Kara Elizabeth Bumgardner, LCMHC
• Laura Howard Burgess, FNP
• Jennifer Louise Bushey Colyer, MD

• General Practice Dentistry in Denver, NC
• Providers in Denver, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.