Bryan David Aungst, DMD
Individual provider Active NPI Dentist · Tyrone, PA
NPI 1356432124 · NPPES record last updated Feb 21, 2013
Key facts
- NPI
- 1356432124
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- DS029429L (PA)
- Practice address
- 4579 E Pleasant Valley Blvd
Tyrone, PA 16686-7032 - Phone
- (814) 684-9455
- Fax
- (814) 684-9473
- NPI assigned
- Sep 27, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|
| DS029429L | PA | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS029429L | PA | Yes |
Addresses
Primary practice location
4579 E Pleasant Valley Blvd
Tyrone, PA 16686-7032
Mailing address
4579 E Pleasant Valley Blvd
Tyrone, PA 16686-7032
Phone (814) 684-9455
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 245401 | Other | PA | DENTA BENEFIT PROVIDERS |
| 01902813 | Medicaid | PA | |
| 789832 | Other | PA | UNITED CONCORDIA |
Other providers in Tyrone, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 21, 2013. 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.