Bryan Donald Fletcher, D.D.S., M.S.D.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

60260894 Issued in WA

Practice address

650 N Miller St
Wenatchee, WA 98801-2044

Phone

(509) 662-3621

NPI assigned

Jun 2, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1275436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604534400000",
    "number": "1184944050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3564 VAN BUREN BLVD",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925034214",
            "telephone_number": "951-688-5412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 N MILLER ST",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988012044",
            "telephone_number": "509-662-3621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLETCHER",
        "first_name": "BRYAN",
        "middle_name": "DONALD",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-02",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "59053",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WA",
            "license": "60260894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Fitzgerald, LMP
• Kara Marie Fitzgerald, MD
• Nina Eileen Flavin, M.D.
• Heather Leigh Fleming, RD
• Jeron Fleming, PHARMD
• Margaret Averil Fletcher, PT
• Susan Fletcher, RD
• Alexandre Flor-Henry, DO
• Grant Thomas Florer, PHARMD
• Carlos Brandon Flores Juarez, LMHCA

• Pediatric Dentistry in Wenatchee, WA
• Providers in Wenatchee, WA by specialty
• Pediatric Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2020; 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.