O'Bryan Dental Clinic

Primary specialty

DentistTaxonomy code 122300000X

License

318201 Issued in MS

Legal business name

O'BRYAN DENTAL CLINIC

Practice address

6181 Highway 18
Brandon, MS 39042-8296

Phone

(601) 825-0559

Fax

(601) 825-0374

NPI assigned

Jul 24, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Tanya M O'Bryan, DMDNPI 1548430697

Title

Owner/Dentist

Phone

(601) 825-0559

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tanya M O'Bryan, DMD

  • General Practice Dentistry
  • Brandon, MS
  • NPI 1548430697
  NPD (past) Authorized official

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

{
    "created_epoch": "1343088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343088000000",
    "number": "1639424963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6181 HIGHWAY 18",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390428296",
            "telephone_number": "601-825-0559",
            "fax_number": "601-825-0374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6181 HIGHWAY 18",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390428296",
            "telephone_number": "601-825-0559",
            "fax_number": "601-825-0374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "O'BRYAN DENTAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-24",
        "last_updated": "2012-07-24",
        "status": "A",
        "authorized_official_last_name": "O'BRYAN",
        "authorized_official_first_name": "TANYA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "601-825-0559",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MS",
            "license": "318201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08533712",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lula Bell Nichols, PLPC, PCAT
• NNW Solutions LLC
• Kitzi Norman
• Jennifer Weir Norsworthy, LPTA
• Northeast Pharmaceuticals, Inc.
• Tanya M O'Bryan, DMD
• Anna Claire O'Cain
• Kimsey O'Neal
• Samantha Green Odom, DPT
• Olde Towne Drugs, LTD. (Olde Towne Drugs)

• Dentist in Brandon, MS
• Providers in Brandon, MS by specialty
• Dentist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2012; 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.