HENRY GASSON BRYAN D.D.S. NPI 1992739379

NPI Information

  • NPI: 1992739379
  • Provider Name: HENRY GASSON BRYAN, D.D.S.
  • Classification: Oral & Maxillofacial Surgery - 204E00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 20805 E 12 MILE RD
    SUITE 110
    ROSEVILLE, MI
    ZIP 48066
  • Phone: (586) 778-2100

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NPI Details

Henry Gasson Bryan, D.D.S. is an oral maxillofacial surgery in Roseville, MI. The provider is oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. Henry Gasson Bryan, D.D.S. NPI is 1992739379. 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:

20805 E 12 MILE RD
SUITE 110
ROSEVILLE, MI
ZIP 48066-502
Phone: (586) 778-2100

The NPI 1992739379 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/10/2006 and was last updated on 4/11/2008.

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
11223S0112XDentistOral and Maxillofacial SurgeryHB014814MICHIGANNo
2204E00000XOral & Maxillofacial SurgeryHB014814MICHIGANYes

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
1U33701MEDICARE UPIN
25506164MEDICARE ID-TYPE UNSPECIFIEDMICHIGAN
32932746MEDICAIDMICHIGAN

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: 3/30/2025

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