Timothy M. O'Bryan DDS, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

2006015354 Issued in MO

Legal business name

TIMOTHY M. O'BRYAN DDS, LLC

Practice address

12 E Harrison St
Farmington, MO 63640-1859

Phone

(573) 756-4344

NPI assigned

Oct 30, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Timothy Michael O'Bryan, DDS

Title

Manager

Phone

(573) 756-4344

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Cordell Lake, DDS

  • Dentist
  • Farmington, MO
  • NPI 1255744405
  NPD (past)

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

{
    "created_epoch": "1225324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225324800000",
    "number": "1285887448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 E HARRISON ST",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636401859",
            "telephone_number": "573-756-4344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 E HARRISON ST",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636401859",
            "telephone_number": "573-756-4344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY M. O'BRYAN DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-30",
        "last_updated": "2008-10-30",
        "status": "A",
        "authorized_official_last_name": "O'BRYAN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "573-756-4344",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MO",
            "license": "2006015354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrice Thibodeau, LCSW
• Gary L Thomas, RPH
• Madisen Thomas
• Tiffany Ann Thomas
• Cindi Gay Thurman, OTR/L
• Ashley Todd, PMHNP
• Nicole Hensley Toney
• Shannon Danielle Toole, MSN, FNP-C
• Total Renal Care Inc
• Town & Country Grocers of Fredericktown Mo Inc

• Dental Clinic/Center in Farmington, MO
• Providers in Farmington, MO by specialty
• Dental Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2008; 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.