Dr. Emory Wallace Bryan , DDS
Dentist - General Practice • Fort Wayne, IN
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. Emory Bryan has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Emory Bryan, DDS was a registered Dentist - General Practice practicing in Fort Wayne, IN. Throughout an active medical career spanning 13 years, Dr. Bryan provided care at the practice location at 6427 GEORGETOWN NORTH BLVD until profile deactivation on 2020-10-05.
Practice Location & Contact Primary Location
6427 Georgetown North Blvd
Fort Wayne, IN 468157007
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Fort Wayne, IN
Practicing in Fort Wayne, IN (2204 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
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
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Dentist - General Practice
Doctor of Dental Surgery
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on October 05, 2020
NPI status registered as active in NPPES database
Registered at 6427 GEORGETOWN NORTH BLVD, FORT WAYNE, IN 468157007 (Tel: 2604859142)
Registered at 6427 GEORGETOWN NORTH BLVD, FORT WAYNE, IN 468157007 (Tel: 2604859142)
Recorded as EMORY BRYAN, D.D.S.
Dentist (License #12006287A in IN)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
6427 Georgetown North Blvd
Fort Wayne, IN 468157007
Phone: 2604859142
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