Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223P0700X | Prosthodontist | 30-023337 | OH |
N | 1223P0700X | Prosthodontist | 4066 | WV |
N | 1223P0700X | Prosthodontist | DN013980 | GA |
Y | 1223P0700X | Prosthodontist | DN24770 | FL |
NPI | 1124336227 |
---|---|
Provider Name | Dr. Matthew Scott Bryington |
First Address | Zephyrhills, FL 33542-6935 |
Second Address | Zephyrhills, FL 33542-6935 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/09/2010 |
Last Update Date | 09/12/2021 |