Dr. Jerald Alan Bryant, DDS
Dentist, General Practice in Cookeville, TN. Individual provider (NPI-1).
NPI number1023026051
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1023026051
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jerald Alan Bryant
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 4, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 7879 | TN | Yes |
Practice location
220 N Washington AveCookeville, TN 38501
Phone 931-526-2613 · Fax 931-646-0901
Mailing address
220 N Washington AveCookeville, TN 38501
Phone 931-526-2613 · Fax 931-646-0901
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