Dr. Bryan Michael Pope, D.D.S.
Dentist in Jefferson City, MO. Individual provider (NPI-1).
NPI number1477543965
StatusActive
Last updated in NPPESJul 13, 2026
Details
- NPI
- 1477543965
- Entity type
- Individual (NPI-1)
- Name
- Dr. Bryan Michael Pope
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 26, 2005
- Last updated
- Jul 13, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 12095 | MO | Yes |
Practice location
3306 Emerald LnJefferson City, MO 65109-6877
Phone 573-634-2222
Mailing address
3306 Emerald LnJefferson City, MO 65109-6877
Phone 573-634-2222
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All 28 Dentist providers in Jefferson City · All 1,897 providers in Jefferson City
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