Eric David Bryant, DDS
Individual provider Active NPI General Practice Dentistry · Perry, NY
NPI 1861697765 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1861697765
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 040774-1 (NY)
- Practice address
- 142 N Center St
Perry, NY 14530-9701 - Phone
- (585) 237-3456
- NPI assigned
- Jun 19, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
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 |
|---|---|---|---|
| 040774-1 | NY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David a. Dipalma, DDS, PLLC | General Practice | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 040774-1 | NY | Yes |
Addresses
Primary practice location
142 N Center St
Perry, NY 14530-9701
Mailing address
142 N Center St
Perry, NY 14530-9701
Phone (585) 237-3456
Other providers in Perry, NY
- Marlene Elizabeth Beardslee
- Tobi Berchen
- Patricia Berwanger
- Bonnie
- Haley F Boring
- Kelly Chichester
- Sarah Elizabeth Covell
- David a. Dipalma, DDS, PLLC
- Sue Ann Degroff
- Tara Joanne Demers
All providers in Perry, NY · General Practice Dentistry in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.