Bryan Dental Smiles Group PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

BRYAN DENTAL SMILES GROUP PLLC

Practice address

1936 S Summerton Rd
Mount Pleasant, MI 48858-1109

Phone

(989) 773-9051

NPI assigned

May 7, 2018

Organization subpart

No

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

Authorized official

Name

Opal Anderson

Title

Operations Manager

Phone

(989) 773-9051

Specialties & licenses 1

Addresses

Other names 1

• Bryan Dental Smiles Group Doing business as

Electronic endpoints 1

Locations

Practitioners 2

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

• Logan T Clements, DDS

  • General Practice Dentistry
  • Mt Pleasant, MI
  • NPI 1942730700

  Single Specialty

  NPD (past)
• David Frank Maceroni, DDS

  • General Practice Dentistry
  • Mount Pleasant, MI
  • NPI 1225529035
  NPD (past)

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

{
    "created_epoch": "1525651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658275200000",
    "number": "1154810059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1936 S SUMMERTON RD",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488581109",
            "telephone_number": "989-773-9051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1936 S SUMMERTON RD",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488581109",
            "telephone_number": "989-773-9051"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 N Coldwater Rd Ste J",
            "address_purpose": "LOCATION",
            "city": "Lake Isabella",
            "state": "MI",
            "postal_code": "488938845",
            "country_code": "US",
            "telephone_number": "989-644-3565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BRYAN DENTAL SMILES GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-07",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "OPAL",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "989-773-9051"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "office@bryandentalmtpleasant.com",
            "affiliation": "N",
            "address_1": "1936 S Summerton Rd",
            "city": "Mount Pleasant",
            "state": "MI",
            "country_code": "US",
            "postal_code": "488581109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Bryan Dental Smiles Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeffrey Russell Browne
• Shavonne Annette Brubaker, LMSW
• Sara A Bruewer, LMSW
• Casey Elizabeth Brugh, MS
• Bryan Dental Office, PLC
• F Allen Bryan, DDS
• Taylor Marie Bryant
• Liana Nicole Bucaro
• Dennis Milton Buck, M.S.
• Marisa Bullard, LMSW

• Dentist in Mount Pleasant, MI
• Providers in Mount Pleasant, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; 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.