Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1912226986 Deactivated / Inactive NPI Male Practitioner

Dr. Benjamin R Bryan , DMD

Dentist - General Practice • Hana, HI

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Benjamin Bryan has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 28, 2010
NPI Deactivation Date February 04, 2020
Total Practice Duration ~10 Years of Practice (2010 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Benjamin Bryan, DMD was a registered Dentist - General Practice practicing in Hana, HI. Throughout an active medical career spanning 10 years, Dr. Bryan provided care at the practice location at 4590 HANA HIGHWAY until profile deactivation on 2020-02-04.

Practice Location & Contact Primary Location

Practice Address

4590 Hana Highway

Hana, HI 96713

Telephone 8082488294
Fax 8082488917
Associated Practice Facility / Clinic
🏢 Hana Health Facility NPI 1992728828

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Hana, HI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.3 Yrs
Regional Practice Density
2 Specialists

Practicing in Hana, HI (740 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License WA DE60159087

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
NPI 1114435658

Licensed Clinical Social Worker

Angela Watson

Counselor - Mental Health

NPI 1184581597
Dr. Robert Leonard , DDS

Dentist - General Practice

NPI 1215225750

Doctor of Dental Surgery

NPI 1679777924

Physical Therapist, Doctor of Physical Therapy

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
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NPI Profile Deactivated February 04, 2020

Record deactivated on February 04, 2020

NPI Profile Active May 26, 2017

NPI status registered as active in NPPES database

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Updated Practice Location May 26, 2017

Registered at 375 NW BEAVER ST STE 101, PRINEVILLE, OR 977541802 (Tel: 5414470707)

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Updated Business Mailing Address May 26, 2017

Registered at 600 SW COLUMBIA ST STE 6210, BEND, OR 977021099 (Tel: (541) 383-3005)

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Provider Name / Credentials Updated May 26, 2017

Recorded as BENJAMIN BRYAN, DMD

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 26, 2017

Dentist (License #D10430 in OR)

NPI Profile Active July 14, 2014

NPI status registered as active in NPPES database

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Updated Practice Location July 14, 2014

Registered at 4590 HANA HIGHWAY, HANA, HI 96713 (Tel: 8082488294)

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Updated Business Mailing Address July 14, 2014

Registered at PO BOX 807, HANA, HI 967130807 (Tel: 8082488294)

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Provider Name / Credentials Updated July 14, 2014

Recorded as BENJAMIN BRYAN, DMD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 14, 2014

Dentist (License #DE60159087 in WA)

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Initial NPI Registration & Enumeration May 28, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1912226986
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 28, 2010
Last Update: July 14, 2014
Deactivation Date: February 04, 2020

Mailing Address

Po Box 807

Hana, HI 967130807

Phone: 8082488294

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.