Dr. Larry Winfred Bryant
Oral and Maxillofacial Pathology
12200 Annapolis Rd Suite 236-240
Glenn Dale
, Maryland 20769-9182
Dr. Larry Winfred Bryant
Oral and Maxillofacial Pathology
12200 Annapolis Rd Suite 236-240
Glenn Dale
, Maryland 20769-9182
(301) 249-0555
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About
Features
Specialties
- Oral and Maxillofacial Pathology
Languages spoken
- English
Location
First Address
- Dr. Larry Winfred Bryant
- 12200 Annapolis Rd Suite 236-240
- Glenn Dale, MD
- Zip : 20769-9182
- Fax : (301) 249-0555
- Phone : (301) 249-0553
Second Address
- Dr. Larry Winfred Bryant
- 12200 Annapolis Rd Suite 236-240
- Glenn Dale, MD
- Zip : 20769-9182
- Fax : (301) 249-0555
- Phone : (301) 249-0553
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0106X | Oral and Maxillofacial Pathology | 7738 | MD |
National Provider Identifier
| NPI | 1902960958 |
|---|---|
| Provider Name | Dr. Larry Winfred Bryant |
| First Address | Glenn Dale, MD 20769-9182 |
| Second Address | Glenn Dale, MD 20769-9182 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/12/2006 |
| Last Update Date | 18/11/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| U34665 | (02) | MD |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.