BRYANT HIRSBERG DMD NPI 1790875912

NPI Information

  • NPI: 1790875912
  • Provider Name: BRYANT HIRSBERG, DMD
  • Classification: Dentist - 1223X0400X
  • Specialization: Orthodontics and Dentofacial Orthopedics
  • Entity Type: Individual
  • Address: 785 OHIO AVE STE 3H
    CLARKSDALE, MS
    ZIP 38614
  • Phone: (662) 627-9001

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NPI Details

Bryant Hirsberg, DMD is an orthodontics and dentofacial orthopedics dentist in Clarksdale, MS. The provider is that area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. Bryant Hirsberg, DMD NPI is 1790875912. 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:

785 OHIO AVE STE 3H
CLARKSDALE, MS
ZIP 38614-215
Phone: (662) 627-9001
Fax: (662) 627-3662

The enumeration date for this NPI number is 10/16/2006 and was last updated on 4/27/2018.

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
1122300000XDentist3042-98MISSISSIPPINo
21223X0400XDentistOrthodontics and Dentofacial OrthopedicsOR-345-00MISSISSIPPIYes

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
100660374MEDICAIDMISSISSIPPI

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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