Sidney R Bryson DMD PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1876 Issued in SC

Legal business name

SIDNEY R BRYSON DMD PA

Practice address

107 N Earle St
Walhalla, SC 29691

Phone

(864) 638-5851

Fax

(864) 638-5850

NPI assigned

Aug 21, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Sidney R Bryson, DMDNPI 1437282845

Title

President

Phone

(864) 638-5851

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.

• Sidney R Bryson, DMD

  • General Practice Dentistry
  • Walhalla, SC
  • NPI 1437282845

  General Practice

  NPD (past) Authorized official

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710093281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 128",
            "address_2": "107 N EARLE STREET",
            "city": "WALHALLA",
            "state": "SC",
            "postal_code": "29691",
            "telephone_number": "864-638-5851",
            "fax_number": "864-638-5850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 N EARLE ST",
            "city": "WALHALLA",
            "state": "SC",
            "postal_code": "29691",
            "telephone_number": "864-638-5851",
            "fax_number": "864-638-5850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIDNEY R BRYSON DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRYSON",
        "authorized_official_first_name": "SIDNEY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "864-638-5851",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "1876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Walhalla, SC
• Providers in Walhalla, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.