Individual provider · Type 1 NPI
Theodore Paul Bryson, DDS
General Practice Dentistry · Driggs, ID
NPI number
1629185178
Active
Practice location
30 E. Harper St.
Driggs, ID 83422-5179
Mailing address
PO Box 1196
Driggs, ID 83422-1196
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | D3783 (ID) |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
About NPI 1629185178
Theodore Paul Bryson, DDS's National Provider Identifier is 1629185178, issued on Aug 23, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Driggs, ID. The record was last updated on Jul 8, 2007.