Kori Suzanne Bryant, DDS
Individual provider Active NPI Pediatric Dentistry · Manhattan, KS
NPI 1194131672 · NPPES record last updated Oct 23, 2020
Key facts
- NPI
- 1194131672
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Dentistry 1223P0221X
- License
- 61117 (KS)
- Practice address
- 1133 College Avenue
Suite D164
Manhattan, KS 66502-2940 - Phone
- (785) 776-7242
- Fax
- (785) 776-7243
- NPI assigned
- Jul 7, 2014
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61117 | KS | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Little Apple Pediatric Dentistry, LLC | Pediatric Dentistry | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 61117 | KS | Yes |
Addresses
Primary practice location
1133 College Avenue
Suite D164
Manhattan, KS 66502-2940
Mailing address
1133 College Avenue
Suite D164
Manhattan, KS 66502-2940
Phone (785) 776-7242
Other providers in Manhattan, KS
- Logan W Brown
- Nicole Elizabeth Brown
- Kate Brull
- Jessi Brummett
- Brett Bruning
- Paul E Bullock
- Kathryn Jo Bunker
- Amanda Marie Bunnell
- Judith Ann Bunting
- Tamara Jo Burke-Moree
All providers in Manhattan, KS · Pediatric Dentistry in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 23, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.