Organization Active NPI

Bryant M Anderson DMD

Doing business as Anderson Family Dental

  • Dentist
  • Winter Park, FL
National Provider Identifier
1326579384
Registry record updated Mar 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN19033 Issued in FL
Legal business name
BRYANT M ANDERSON DMD
Doing business as
Anderson Family Dental
Practice address
1431 Howell Branch Rd
Winter Park, FL 32789-1101
Phone
(407) 644-5454
Fax
(407) 289-5257
NPI assigned
Mar 22, 2017
Organization subpart
Yes
Parent organization
ANDERSON FAMILY DENTALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 22, 2017

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

Authorized official

Name
Dr. Bryant Marshall Anderson, DMDNPI 1700198231
Title
President
Phone
(407) 644-5454

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DN19033 FL Primary

Addresses

Primary practice location

1431 Howell Branch Rd
Winter Park, FL 32789-1101

Mailing address

1431 Howell Branch Rd
Winter Park, FL 32789-1101
Phone (407) 644-5454

Other names 1

  • Anderson Family Dental Doing business as

National Provider Directory

National Provider Directory
Part of
Bryant M Anderson DMD

Locations

1431 Howell Branch Rd
Winter Park, FL 32789
Phone (407) 644-5454

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1490140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490140800000",
    "number": "1326579384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1431 HOWELL BRANCH RD",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327891101",
            "telephone_number": "407-644-5454",
            "fax_number": "407-289-5257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431 HOWELL BRANCH RD",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327891101",
            "telephone_number": "407-644-5454",
            "fax_number": "407-289-5257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYANT M ANDERSON DMD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ANDERSON FAMILY DENTAL",
        "enumeration_date": "2017-03-22",
        "last_updated": "2017-03-22",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "BRYANT",
        "authorized_official_middle_name": "MARSHALL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-644-5454",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN19033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anderson Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2017; 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.