Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRYAN D PETRYSZAK, DMD
ActiveDR. BRYAN D PETRYSZAK, DMD is a General Dentistry healthcare provider located in PORTVILLE, New York. NPI 1407844426 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · PORTVILLE, NY
Registration Details
- NPI Number
- 1407844426
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 13, 2005 (20.838657382445 yrs)
- Last Updated
- Jul 8, 2007
- License
-
NY0502181 (NY)
Practice Information
- Address
-
149 S MAIN STPORTVILLE, NY, 147709703Browse NY providers · Browse ZIP 14770
- Phone
- 7169336787
- Fax
- 7169336933
- Primary Specialty
-
General Dentistry
1223G0001X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.