BRAD BRYAN, DMD, PA (NPI# 1700078029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700078029 |
| Entity Type | Organization |
| Organization Name | BRAD BRYAN, DMD, PA |
| Other Organization Name | SUNNYBROOK DENTISTRY |
| Practice Address |
5111 Rogers Ave Fort Smith AR 72903 |
| Mailing Address |
1090 Northchase Pkwy Se Ste 150 Marietta GA 30067-6407 |
| Practice Telephone | 7709169000 |
| Practice Fax Number | 6783027485 |
| Mailing Telephone | 7709169000 |
| Mailing Fax Number | 6782477858 |
| Enumeration Date | 2007-08-10 |
| Last Update Date | 2019-01-04 |
| Authorized Official Name | DR. DALE MAYFIELD (PRESIDENT) |
| Authorized Official Telephone | 7709165036 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223E0200X |
Dentist Specialization: Endodontics |
Dental Providers | ||
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers | ||
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Sunnybrook Dentistry | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366636748 | Brad Bryan, Dmd, Pa | Dentist | 2000 S University Ave, Little Rock, AR 72204 | 2007-08-29 |
| Street Address |
5111 ROGERS AVE |
| City | FORT SMITH |
| State | AR |
| Zip Code | 72903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306833116 | Von Phomakay | Family Medicine | 5111 Rogers Ave, Ste 40m, Fort Smith, AR 72903-2047 | 2005-10-06 |
| 1487178729 | Rachel Elaine Equihua | Dentist | 5111 Rogers Ave, Fort Smith, AR 72903 | 2017-07-28 |
| 1720435589 | Lenora Roe | Technician/Technologist | 5111 Rogers Ave, Fort Smith, AR 72903-2047 | 2016-05-20 |
| 1568851426 | Sears Optical | Eyewear Supplier (Equipment, not the service) | 5111 Rogers Ave, Suite 19, Fort Smith, AR 72903-2047 | 2015-01-15 |
| 1669728135 | Eckelhoff Psychology | Psychologist | 5111 Rogers Ave, Suite 526, Fort Smith, AR 72903-2047 | 2012-08-01 |
| 1275813172 | Brandon L Swink | Optometrist | 5111 Rogers Ave, Suite 54, Fort Smith, AR 72903-2047 | 2011-08-23 |
| 1760762678 | Elite Vision, Plc | Optometrist | 5111 Rogers Ave, Suite 54, Fort Smith, AR 72903-2047 | 2011-08-23 |
| 1578854378 | Ft Smith Hma Pbc Management, LLC | Physician Assistant | 5111 Rogers Ave, Suite 40m, Fort Smith, AR 72903-2047 | 2011-04-27 |
| 1164735981 | Malcolm R Hutchins O D P A | Optometrist | 5111 Rogers Ave, Suite 54, Fort Smith, AR 72903-2047 | 2010-07-21 |
| 1376875864 | Usv Optical Inc | Eyewear Supplier (Equipment, not the service) | 5111 Rogers Ave, Fort Smith, AR 72903-2047 | 2010-02-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285280016 | Bhg L, LLC | Clinic/Center | 1501 Waldron Road, Ste 203, Fort Smith, AR 72903 | 2019-08-16 |
| 1457905903 | Heather Snyder | Optometrist | 1021 South Waldron Road, Fort Smith, AR 72903 | 2019-08-01 |
| 1083272223 | Pediatric Therapy Connections LLC | Clinic/Center | 7601 Westminister Pl, Fort Smith, AR 72903 | 2019-06-03 |
| 1073092821 | Baptist Health Services | Psychiatry & Neurology | 3808 Gary St Ste B, Fort Smith, AR 72903 | 2018-08-13 |
| 1104305853 | Baptist Health Services | Family Medicine | 5428 Ellsworth Rd Ste A, Fort Smith, AR 72903 | 2018-08-13 |
| 1417436171 | Baptist Health Services | Pediatrics | 5428 Ellsworth Rd Ste B, Fort Smith, AR 72903 | 2018-08-13 |
| 1558840421 | Baptist Health Services | Family Medicine | 3808 Gary St Ste A, Fort Smith, AR 72903 | 2018-08-10 |
| 1316434707 | Md Weight Loss and Wellness, LLC | Dietitian, Registered | 3416 Old Greenwood Road, Fort Smith, AR 72903 | 2018-04-20 |
| 1942695572 | Donna K Morgan | Counselor | 2408 S. 51st Court Suite G, Fort Smith, AR 72903 | 2015-03-31 |
| 1346658242 | Shelby Mural Esry | Dentist | 3200 Rogers Ave. Suite 111, Fort Smith, AR 72903 | 2014-07-24 |
| Find all providers in zip 72903 | ||||
| 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 |
|---|---|---|---|---|
| 1215545710 | Justin Michael Cooper | Dentist | 5008 S U St Ste 101a, Fort Smith, AR 72903-3613 | 2020-07-21 |
| 1811483779 | Usama Kamal | Dentist | 7801 Phoenix Ave, Fort Smith, AR 72903-5091 | 2018-07-03 |
| 1194154443 | Moore Dental Care | Dentist | 2913 South 74th Street, Fort Smith, AR 72903 | 2013-11-07 |
| 1851634729 | Bethel Burris Oliver Pllc | Dentist | 4605 S Phoenix Avenue, Fort Smith, AR 72903-1713 | 2013-03-29 |
| 1750638284 | Cole Jerome Johnson | Dentist | 2420 S 51st Ct Ste A, Fort Smith, AR 72903-3669 | 2012-08-15 |
| 1669641098 | Kendall Roberts Dds PC | Dentist | 5505 Euper Lane, Fort Smith, AR 72903 | 2008-02-29 |
| 1982807137 | Kristopher Emery Liggett | Dentist | 3200 Rogers Ave Ste 112, Fort Smith, AR 72903-2954 | 2007-06-06 |
| 1831216977 | R K Girlinghouse Dds Pa | Dentist | 2307 Zero St, Suite #103, Fort Smith, AR 72901-8643 | 2007-03-23 |
| 1881722395 | J Stephen Wilson | Dentist | 4208 Jenny Lind Rd, Fort Smith, AR 72901-7660 | 2007-02-28 |
| 1548302524 | Ocean Dental of Arkansas, PC | Dentist | 1326 S Waldron Rd, Fort Smith, AR 72903-2556 | 2007-02-13 |
| Find all providers in FORT SMITH | ||||
| City | FORT SMITH |
| Zip Code | 72903 |
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| 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.