Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRYANT HIRSBERG, DMD
Active Sole ProprietorBRYANT HIRSBERG, DMD is a Orthodontics healthcare provider located in CLARKSDALE, Mississippi. NPI 1790875912 is currently active in the NPPES registry. Verify at CMS.
Orthodontics · CLARKSDALE, MS
Registration Details
- NPI Number
- 1790875912
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 16, 2006 (19.827139395465 yrs)
- Last Updated
- Apr 27, 2018
- Licenses
-
3042-98 (MS)OR-345-00 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
785 OHIO AVE STE 3HCLARKSDALE, MS, 386146215Browse MS providers · Browse ZIP 38614
- Phone
- 6626279001
- Fax
- 6626273662
- Primary Specialty
-
Orthodontics
1223X0400X
- Additional Specialty
- Orthodontics
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.