Michelle Leivette Bryant, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

22DI02334100 Issued in NJ

Practice address

Atlantic Oral Surgery and Dental Implant Center
21Gilbert St. North
Tinton Falls, NJ 07701

Phone

(732) 747-0993

Fax

(732) 412-9317

NPI assigned

May 25, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lawrenceville Dental Associates, LLC

  dba Simply Beautiful Smiles of Lawrenceville

  • Dentist
  • Lawrenceville, NJ
  • NPI 1114216496
  NPD (past)
• Moorestown Dental Associates, LLC

  • Dentist
  • Moorestown, NJ
  • NPI 1912237793
  NPD (past)

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699721290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 WAYNE AVE",
            "address_2": "APT. 26G",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104672510",
            "telephone_number": "646-369-7363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ATLANTIC ORAL SURGERY AND DENTAL IMPLANT CENTER",
            "address_2": "21GILBERT ST. NORTH",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "07701",
            "telephone_number": "732-747-0993",
            "fax_number": "732-412-9317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "MICHELLE",
        "middle_name": "LEIVETTE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NJ",
            "license": "22DI02334100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Broadway Vascular LLC
• Laura Brockman, PSY.D
• Nicole Leigh Brody, M.S.ED, BCBA
• Gary M Brousell, D.D.S.
• Kevin S Brown, PA
• Buono Chiropractic Clinic
• Butera & Associates
• Matthew Butera
• Ca Tinton Falls LLC (The Chelsea at Tinton Falls)
• Caare Counseling and Consultation

• Oral and Maxillofacial Surgery (Dentist) in Tinton Falls, NJ
• Providers in Tinton Falls, NJ by specialty
• Oral and Maxillofacial Surgery (Dentist) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.