Dr. Bryan Dryden Family Dentistry

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

D3332 Issued in ID

Legal business name

DR. BRYAN DRYDEN FAMILY DENTISTRY

Practice address

509 W Hanley Ave
Suite 102
Coeur D Alene, ID 83815-8994

Phone

(208) 664-9506

Fax

(208) 665-1598

NPI assigned

Jun 9, 2008

Last updated

Jun 9, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Bryan Radar Dryden, DDS

Title

Dr. Bryan Dryden

Phone

(208) 664-9506

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212969600000",
    "number": "1922267491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 W HANLEY AVE",
            "address_2": "SUITE 102",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838158994",
            "telephone_number": "208-664-9506",
            "fax_number": "208-665-1598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 W HANLEY AVE",
            "address_2": "SUITE 102",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838158994",
            "telephone_number": "208-664-9506",
            "fax_number": "208-665-1598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. BRYAN DRYDEN FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-09",
        "last_updated": "2008-06-09",
        "status": "A",
        "authorized_official_last_name": "DRYDEN",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "RADAR",
        "authorized_official_title_or_position": "DR. BRYAN DRYDEN",
        "authorized_official_telephone_number": "208-664-9506",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "ID",
            "license": "D3332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Philip John Dougherty, MD
• Jeffrey Douglass
• Lorrie Elen Downs, LMT CCST
• Robert Doxey, D.O.
• Dr Jeff Priebe
• Dr. Daniel R Cullum PA (Implants Northwest)
• Dr. Margo Parker Omd LLC
• Michael J Drager, DPM
• Dragonfly Support Services, LLC.
• Casey Deanne Drake, MSW

• Dental Clinic/Center in Coeur d'Alene, ID
• Providers in Coeur d'Alene, ID by specialty
• Dental Clinic/Center in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2008; 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.