HENRY GASSON BRYAN


Address: 20805 E 12 Mile Rd, Suite 110, Roseville, MI 48066-6502
Phone: 5867782100

HENRY GASSON BRYAN (NPI# 1992739379) 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) 1992739379
Entity Type Individual
Full Name HENRY GASSON BRYAN
Credential D.D.S.
Practice Address 20805 E 12 Mile Rd
Suite 110
Roseville
MI 48066-6502
Practice Telephone 5867782100
Mailing Telephone 5867782100
Mailing Fax Number 5867782422
Enumeration Date 2006-07-10
Last Update Date 2008-04-11
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
HB014814 MI Dental Providers
Y 204E00000X Oral & Maxillofacial Surgery HB014814 MI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MI 2932746 05

Office Location

Street Address 20805 E 12 MILE RD
SUITE 110
City ROSEVILLE
State MI
Zip Code 48066-6502

Providers in the same location

NPI Name Taxonomy Address Enumeration
1932450483 J.l. Colon, Dds, Pllc Dentist 20805 E 12 Mile Rd, Suite 100, Roseville, MI 48066-6502 2012-09-24
1235325499 Renaissance Oral Surgery PC Oral & Maxillofacial Surgery 20805 E 12 Mile Rd, Ste 110, Roseville, MI 48066 2007-09-21
1326104134 Diana Livia Mastronardi Dentist 20805 E 12 Mile Rd, Roseville, MI 48066-6502 2006-12-28
1871606483 Michelene Riley Lepczyk Dentist 20805 E 12 Mile Rd, Suite 100, Roseville, MI 48066-6502 2006-08-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437761400 Louay Mansour Dds PC Dentist 27845 Gratiot Avenue, Roseville, MI 48066 2020-08-20
1558911842 Jomy Jose Nurse Practitioner 25719 Salem St, Roseville, MI 48066 2019-09-18
1053963033 Convenient Rv PC Dentist 19551 E. 10 Mile Rd, Roseville, MI 48066 2019-07-10
1063914539 Colleen Meriweather Registered Nurse 27300 Spruce, Rosevilel, MI 48066 2018-03-01
1326565789 Renee Suzette Hoelzeman Nurse Practitioner 18472 Meier St, Roseville, MI 48066 2017-08-27
1225561400 Eugenia Dillard Counselor 28351 Gratiot Ave., Suite 3, Roseville, MI 48066 2017-04-05
1932651338 Julie Plichota Physical Therapist 31120 Gratiot Ave, Roseville, MI 48066 2016-11-01
1699221325 Jaquenta Glasker Technician, Other 26778 Rosewood, Roseville, MI 48066 2016-09-01
1609296144 Peter Jajou Dermatology 18285 E 10 Mile Rd Ste 130, Roseville, MI 48066 2014-04-23
1619393899 Katherine Michelle Johnson Obstetrics & Gynecology 29751 Little Mack Ave Ste B, Roseville, MI 48066 2014-03-11
Find all providers in zip 48066

Taxonomy Information

Taxonomy Code 204E00000X
Grouping Allopathic & Osteopathic Physicians
Classification Oral & Maxillofacial Surgery

Taxonomy Definition

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.
Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750326500 Nicholas William Rotas Oral & Maxillofacial Surgery 9241 Sierra College Blvd, 150, Roseville, CA 95661 2006-06-17
1235325499 Renaissance Oral Surgery PC Oral & Maxillofacial Surgery 20805 E 12 Mile Rd, Ste 110, Roseville, MI 48066 2007-09-21

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1760900120 Cynthia A Rider Dmd Pllc Oral & Maxillofacial Surgery 2545 Spring Arbor Road, Suite 202, Jackson, MI 49203 2017-09-06
1881792786 James W Lepczyk Oral & Maxillofacial Surgery 31100 Telegraph, Suite 100, Bingham Farms, MI 48025 2006-09-21
1558472332 Richard F Scott Dds Ms PC Oral & Maxillofacial Surgery 203 S Zeeb Road, Suite 101, Ann Arbor, MI 48103 2006-08-31
1922115633 Nick Leone Oral & Maxillofacial Surgery 28018 Harper Avenue, St Clair Shores, MI 48081 2006-08-25
1598772626 Oral & Maxillofacial Surgery Associates of Western Michigan Plc Oral & Maxillofacial Surgery 2140 Lake Michigan Dr Nw, Grand Rapids, MI 49504-4785 2006-08-02
1831113125 Jeffery Mcfadden Oral & Maxillofacial Surgery 33111 W. Seven Mile Rd., Livonia, MI 48152 2006-07-27
1215950100 William S Bloom Oral & Maxillofacial Surgery 11300 East Thirteen Mile Road, Warren, MI 48093 2006-07-25
1609809250 Richard Peter Bartling Oral & Maxillofacial Surgery 3011 Abigail Ln, Midland, MI 48640 2006-07-08
1710949953 Robert Harry Burke Oral & Maxillofacial Surgery 2260 S Huron Pkwy, Ann Arbor, MI 48104-5151 2006-04-04
1497728380 Brian H Cohen Oral & Maxillofacial Surgery 2120 Monroe St, Dearborn, MI 48124-2943 2006-02-10
Find all providers with the same taxonomy

Competitor

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City ROSEVILLE
Zip Code 48066

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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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