Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. THEODORE PAUL BRYSON, D.D.S.
Active Sole ProprietorDR. THEODORE PAUL BRYSON, D.D.S. is a General Dentistry healthcare provider located in DRIGGS, Idaho. NPI 1629185178 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · DRIGGS, ID
Registration Details
- NPI Number
- 1629185178
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 23, 2006 (19.944165406994 yrs)
- Last Updated
- Jul 8, 2007
- License
-
D3783 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
30 E. HARPER ST.DRIGGS, ID, 834225179Browse ID providers · Browse ZIP 83422
- Phone
- 2083547878
- 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.