MR. BRYAN D BYRNSIDE MD NPI 1417015082

NPI Information

  • NPI: 1417015082
  • Provider Name: MR. BRYAN D BYRNSIDE, MD
  • Classification: Dentist - 1223P0221X
  • Specialization: Pediatric Dentistry
  • Entity Type: Individual
  • Address: 40 W. CALDWELL STREET
    SUITE 202
    MOUNT JULIET, TN
    ZIP 37122
  • Phone: (615) 758-7511

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NPI Details

MR. Bryan D Byrnside, MD is a pediatric dentistry dentist in Mount Juliet, TN. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. MR. Bryan D Byrnside, MD NPI is 1417015082. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

40 W. CALDWELL STREET
SUITE 202
MOUNT JULIET, TN
ZIP 37122
Phone: (615) 758-7511
Fax: (615) 827-0202

The enumeration date for this NPI number is 12/5/2006 and was last updated on 5/13/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223P0221XDentistPediatric DentistryDS8371TENNESSEENo
21223P0221XDentistPediatric Dentistry8371TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11511981MEDICAIDTENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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