DR. CHRISTA JEAULEA BRYAN (NPI# 1811419674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811419674 |
| Entity Type | Individual |
| Full Name | DR. CHRISTA JEAULEA BRYAN |
| Credential | DDS |
| Practice Address |
122 Yates Ave Grafton WV 26354-1611 |
| Practice Telephone | (304) 265-2438 |
| Practice Fax Number | 3042651545 |
| Mailing Telephone | 3042652438 |
| Mailing Fax Number | 3042651545 |
| Enumeration Date | 2017-07-13 |
| Last Update Date | 2018-06-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
4273 | WV | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0136411000 | 05 | |
| UNITED CONCORDIA | 000090295 | 01 |
| Street Address |
122 YATES AVE |
| City | GRAFTON |
| State | WV |
| Zip Code | 26354-1611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508842345 | John William Byers | Dentist | 122 Yates Ave, Grafton, WV 26354-1611 | 2005-12-22 |
| 1952926123 | Christa J. Garcia, Dds Pllc | Dentist | 122 Yates Ave, Grafton, WV 26354-1611 | 2020-06-12 |
| 1215458864 | John W Byers, Dds, Pllc | Advanced Practice Dental Therapist | 122 Yates Ave, Grafton, WV 26354 | 2017-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316547383 | Ruth Fern Bucklew | Technician | 705 Fast Lane, Grafton, WV 26354 | 2020-10-29 |
| 1649878281 | Stephanie Hess | Technician | 207 Low Bridge Rd, Grafton, WV 26354 | 2020-10-15 |
| 1952814428 | Taylor Health Care Center, LLC | Skilled Nursing Facility | 2 Hospital Plaza, Grafton, WV 26354 | 2017-11-07 |
| 1477079432 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 98 North Pike Street, Grafton, WV 26354 | 2017-08-21 |
| 1205008323 | Nancy Hickman | Physical Therapist | 82 Utt Dr, Grafton, WV 26354 | 2008-03-28 |
| 1780860098 | Taylor County Board of Education | Local Education Agency (LEA) | 82 Utt Drive, Grafton, WV 26354 | 2008-01-16 |
| 1770795353 | Taylor County Emergency Squad | Ambulance | 797 George Washington Hwy., Grafton, WV 26354 | 2007-05-04 |
| 1841308541 | Preston-taylor Community Health Centers Incorporated | Clinic/Center | 711 N Pike St, Grafton, WV 26354 | 2006-08-25 |
| 1609398585 | Grafton Taylor County Health Department | Clinic/Center | 718 W Main St, Grafton, WV 26354 | 2017-07-12 |
| 1891234795 | Christopher Darlington | Chiropractor | 333 Lincoln St, Grafton, WV 26354 | 2017-02-13 |
| Find all providers in zip 26354 | ||||
| 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 |
|---|---|---|---|---|
| 1174152235 | Smile Solutions | Dentist | 11760 Castleton Ln, Grafton, OH 44044-9792 | 2020-04-02 |
| 1265918536 | Rasha Hamouri | Dentist | 4310 George Washington Mem Hwy Ste A, Grafton, VA 23692-2880 | 2018-07-19 |
| 1124569181 | Quirt Family Dentistry, Sc | Dentist | 1580 Port Washington Road, Grafton, WI 53024 | 2017-03-10 |
| 1598187247 | Sweet Smiles Grafton LLC | Dentist | 1300 Bridge St, Grafton, WI 53024-1948 | 2014-01-15 |
| 1093868671 | Scott C Wirth | Dentist | 1308 12th Ave, Grafton, WI 53024-1926 | 2007-01-18 |
| 1609940360 | Joseph C Kern | Dentist | 21 W 5th St, Grafton, ND 58237-1468 | 2006-11-17 |
| 1083705677 | Thomas R. Geary Jr. | Dentist | 105 Terrebonne Rd, Grafton, VA 23692-4817 | 2006-09-27 |
| 1265443626 | Delp S Schafer | Dentist | 1525 Wisconsin Ave, Grafton, WI 53024-1975 | 2006-08-11 |
| 1861408668 | Scott James Golrich | Dentist | 4030-a George Wash. Hwy, Grafton, VA 23692 | 2006-08-01 |
| 1972529519 | Kurt R. Kwiatkowski | Dentist | 1200 Seventeenth Avenue, Grafton, WI 53024 | 2006-07-15 |
| Find all providers in GRAFTON | ||||
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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.