Organization · NPI-2

Bryson Fry PLLC

Dentist, General Practice · Somerset, KY

NPI number1639980246
StatusActive
Last updated in NPPESJan 15, 2025

Details

NPI
1639980246
Entity type
Organization (NPI-2)
Legal business name
Bryson Fry PLLC
Organization subpart
No
Enumeration date
Jan 15, 2025
Certification date
Jan 14, 2025
Last updated
Jan 15, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice––Yes

Other names

  • Harvest Dental (Doing Business As)

Practice location

296 Medpark Dr
Somerset, KY 42503-2894

Phone 606-219-6020

Mailing address

296 Medpark Dr
Somerset, KY 42503-2894

Phone 606-219-6020

Authorized official

Bryson Dane Fry
Owner
6062196020

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