BRYAN SCOTT EDER (NPI# 1275625964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275625964 |
| Entity Type | Individual |
| Full Name | BRYAN SCOTT EDER |
| Credential | DDS |
| Practice Address |
71 Maccorkle Ave Sw South Charleston WV 25303 |
| Practice Telephone | 3047448448 |
| Practice Fax Number | 3047444344 |
| Mailing Telephone | 3047448448 |
| Mailing Fax Number | 3047444344 |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
WV2957 | WV | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0132821000 | 05 |
| Street Address |
71 MACCORKLE AVE SW |
| City | SOUTH CHARLESTON |
| State | WV |
| Zip Code | 25303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710588009 | Shirley Ann Womack | Technician | 131 6th Ave. Apt.#305, South Charleston, WV 25303 | 2020-11-04 |
| 1407350713 | Special Touch Nursing Services, Inc. | In Home Supportive Care | 325 4th Ave Ste 1, South Charleston, WV 25303 | 2018-03-21 |
| 1003213471 | Neveah Health & Wellness Center, Pllc | Family Medicine | 538 3rd Avenue, South Charleston, WV 25303 | 2014-12-01 |
| 1760810444 | Martin, Dds Pllc | Dentist | 140 7th Ave, South Charlestown, WV 25303 | 2013-10-16 |
| 1053594267 | Mary Elizabeth Taylor | Specialist | 117 7th Avenue, South Charleston, WV 25303 | 2007-12-11 |
| 1093937633 | Loved Ones In Home Care | Home Health | 144 7th Ave, South Charleston, WV 25303 | 2007-05-03 |
| 1477643302 | William V. Jordan | Chiropractor | 411 D. Street, South Charleston, WV 25303 | 2006-10-13 |
| 1699864793 | Debora Lynn Wells | Counselor | 1418a Maccorkle Avenue Sw, Charleston, WV 25303 | 2006-10-12 |
| 1457443830 | Special Touch Nursing Services, Inc. | Home Health | 325 Fourth Ave, Suite #1, South Charleston, WV 25303 | 2006-09-29 |
| 1730101569 | John Bruce Todd | Psychologist | 1418a Maccorkle Ave Sw, Charleston, WV 25303 | 2006-07-24 |
| Find all providers in zip 25303 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265691463 | Jolene Wise | Dentist | 43 Coventry Rdg, South Charleston, WV 25309-9541 | 2008-06-03 |
| 1336220219 | Joshua Patrick Chapman | Dentist | 308 C St, South Charleston, WV 25303-1219 | 2006-10-18 |
| 1285678284 | Steven Ghareeb | Dentist | 1203 Jefferson Rd, South Charleston, WV 25309-9732 | 2006-06-16 |
| 1174529903 | Terry L Lake | Dentist | 5001 Maccorkle Ave Sw, South Charleston, WV 25309-1217 | 2005-06-27 |
| 1093096364 | Danielle Magro Wade | Dentist | 855 Creekstone Rdg, South Charleston, WV 25309-9469 | 2011-08-31 |
| 1114166279 | Drs. Chapman & Puderbaugh Dds, Pllc | Dentist | 308 C St, South Charleston, WV 25303-1219 | 2009-02-13 |
| 1659591998 | Monica Renee Puderbaugh | Dentist | 308 C St, South Charleston, WV 25303-1219 | 2007-04-27 |
| 1215092606 | Vivian L. French, Dds | Dentist | 139 7th Ave, South Charleston, WV 25303-1453 | 2006-12-26 |
| 1770694150 | Micheal L. Richardson | Dentist | 1000 Parkway Rd, South Charleston, WV 25309-9418 | 2006-08-31 |
| 1770694176 | James A. Kennedy | Dentist | 1000 Parkway Rd, Suite D, South Charleston, WV 25309-9418 | 2006-08-31 |
| Find all providers in SOUTH CHARLESTON | ||||
| City | SOUTH CHARLESTON |
| Zip Code | 25303 |
Please comment or provide details below to improve the information on BRYAN SCOTT EDER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.