Jelana Renee Bryan, DMD
Dentist in Newnan, GA. Individual provider (NPI-1).
NPI number1659788511
StatusActive
Last updated in NPPESOct 20, 2015
Details
- NPI
- 1659788511
- Entity type
- Individual (NPI-1)
- Name
- Jelana Renee Bryan
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 11, 2014
- Last updated
- Oct 20, 2015
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 | DN014831 | GA | Yes |
Practice location
38 Jefferson PkwyNewnan, GA 30263-5812
Phone 470-241-0143
Mailing address
Po Box 71926Newnan, GA 30271-1926
Phone 470-241-0143
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 22 Dentist providers in Newnan · All 2,174 providers in Newnan
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