BRYAN A LARA


Address: 110 Auston Woods Cir, Apt U, Easley, SC 29640-4301
Phone: 8642437534

BRYAN A LARA (NPI# 1831580620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1831580620
Entity Type Individual
Full Name BRYAN A LARA
Other Name BRYAN A LARA MUNOZ
Credential D.D.S
Practice Address 110 Auston Woods Cir
Apt U
Easley
SC 29640-4301
Mailing Address 1100 Florida Ave
New Orleans
LA 70119-2715
Practice Telephone 8642437534
Mailing Telephone 8643860273
Enumeration Date 2015-02-15
Last Update Date 2019-10-22
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0700X Dentist
Specialization: Prosthodontics
P-183 LA Dental Providers
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 110 AUSTON WOODS CIR
APT U
City EASLEY
State SC
Zip Code 29640-4301

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1063935773 Mary Kathryn Henderson Speech-Language Pathologist 1400 Griffin Mill Road, Easley, SC 29640 2017-07-25
1417309451 Ashby Park Pediatric Dentistry Easley Dentist 708 North A Street, Easley, SC 29640 2016-07-01
1548696990 Phuong T Tran Pharmacist 309 Rolling Hills Circle, Easley, SC 29640 2013-09-17
1538593017 Baptist Easley Hospital Clinic/Center 200 Fleet Wood Dr 3 Rd Floor, Easley, SC 29640 2013-09-03
1942507173 Joanne Mason Wilkinson Occupational Therapist 1807a East Main St, Easley, SC 29640 2011-02-24
1861793911 Ark Pharmacy Services LLC Pharmacy 5119- A Calhoun Memorial Hwy, Easley, SC 29640 2010-11-05
1659507952 Sarah Elizabeth Proulx Dentist 227 South Pendleton Street, Suita A, Easley, SC 29640 2009-06-02
1508030503 Jean Claire Palmour Massage Therapist 404 South Fifth Street, Jj & Company Salon & Spa, Easley, SC 29640 2008-04-22
1760685143 Cannon Memorial Hospital Family Medicine 111 W. Roper Rd., Easley, SC 29640 2007-06-06
1942419171 William Kent Hammond Dentist 298 Enterprise Dr, Easley, SC 29640 2007-05-22
Find all providers in zip 29640

Taxonomy Information

Taxonomy Code 1223P0700X
Grouping Dental Providers
Classification Dentist
Specialization Prosthodontics

Taxonomy Definition

That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1649818048 Safa Tahmasebi Dentist 481 Munn Rd Ste 100, Fort Mill, SC 29715-0014 2019-12-16
1336657386 Candice Marie Vinson Dentist 1149 Oakland Market Rd, Mount Pleasant, SC 29466-8220 2018-01-11
1316459753 David W Richardson Dentist 765 St. Andrews Blvd., Charleston, SC 29407 2017-10-25
1497146906 Palmetto Prosthodontics, LLC Dentist 145 Woodruff Place Cir, Simpsonville, SC 29681-3672 2015-02-05
1255631214 Steven Gordon Lewis Dentist 481 Munn Rd, Suite 100, Fort Mill, SC 29715-8408 2010-10-25
1598929408 Mayur Mahendra Patel Dentist 682 Johnnie Dodds Blvd, Suite 102, Mt Pleasant, SC 29464-3028 2008-07-10
1295999100 Kenneth Steven Barrack Dentist 682 Johnnie Dodds Blvd Ste 102, Mt Pleasant, SC 29464-3028 2008-07-10
1487812327 Virgil Vacarean Dentist 25 Clark Summit Dr Ste 100, Bluffton, SC 29910-4999 2008-05-28
1003086224 Adam M Clark Dentist 1416 Ashley River Rd, Atlantic Aesthetics, Charleston, SC 29407-5306 2008-03-04
1457554974 Stephen Patrick Schoen Dentist 10 Enterprise Boulevard, Suite 103, Greenville, SC 29615 2007-06-11
Find all providers with the same taxonomy

Competitor

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City EASLEY
Zip Code 29640

Improve Information

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Dataset Information

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.

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