Active NPI
George N. Bryan D.D.S.
- General Practice Dentistry
- Conover, NC
National Provider Identifier
1932314432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 4177
- Legal business name
- GEORGE N. BRYAN D.D.S.
- Practice address
- 3421 Graystone PL
Conover, NC 28613-8200 - Phone
- (828) 328-3418
- NPI assigned
- May 10, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- George Bryan
- Title
- Owner
- Phone
- (828) 328-3418
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4177 | NC | Primary |
Addresses
Primary practice location
3421 Graystone PL
Conover, NC 28613-8200
Mailing address
3421 Graystone Olace
Conover, NC 28613
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8991155 | Medicaid | NC |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Periodontics
- Jacksonville, FL
- NPI 1093865487
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178755200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1932314432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3421 GRAYSTONE OLACE",
"city": "CONOVER",
"state": "NC",
"postal_code": "28613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3421 GRAYSTONE PL",
"city": "CONOVER",
"state": "NC",
"postal_code": "286138200",
"telephone_number": "828-328-3418"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GEORGE N. BRYAN D.D.S.",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-10",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BRYAN",
"authorized_official_first_name": "GEORGE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "828-328-3418"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "4177",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8991155",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Conover, NC
Sources for this page
- 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.