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Deactivated NPI 1457350464 Deactivated / Inactive NPI Male Practitioner

Dr. Weldon Ray Bryant , DDS, PA

Dentist - General Practice • Benbrook, TX

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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. Weldon Bryant has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 20, 2005
NPI Deactivation Date October 28, 2020
Total Practice Duration ~15 Years of Practice (2005 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Weldon Bryant, DDS, PA was a registered Dentist - General Practice practicing in Benbrook, TX. Throughout an active medical career spanning 15 years, Dr. Bryant provided care at the practice location at 4200 BRYANT IRVIN RD until profile deactivation on 2020-10-28.

Practice Location & Contact Primary Location

Practice Address

4200 Bryant Irvin Rd
Ste. 101

Benbrook, TX 761094287

Telephone 8177351616
Fax 8177358132
Associated Practice Facility / Clinic
🏢 Phillip M Barron Dds, Pllc Facility NPI 1114390705

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Benbrook, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.3 Yrs
Regional Practice Density
15 Specialists

Practicing in Benbrook, TX (10570 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 TX 9893

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

6 Associated Practitioners
Dr. Raymond Doss , DDS

Dentist - Pediatric Dentistry

NPI 1235225251

Doctor of Dental Surgery

Dr. John Harris , DDS

Dentist - General Practice

NPI 1245236223

Doctor of Dental Surgery

Dr. Lester Kuperman , DDS, MS

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1275531618

Doctor of Dental Surgery, Master of Science

Dr. Jack Morrow , DDS, MSD

Dentist - Pediatric Dentistry

NPI 1326130378

Doctor of Dental Surgery, MSD

NPI 1699141366

Doctor of Dental Surgery

Dr. Jim Mckay , DDS

Dentist - General Practice

NPI 1831150556

Doctor of Dental Surgery

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated October 28, 2020

Record deactivated on October 28, 2020

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 4200 BRYANT IRVIN RD, STE. 101, BENBROOK, TX 761094287 (Tel: 8177351616)

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Updated Business Mailing Address July 08, 2007

Registered at 3655 CHICORA CT, APT. # 222, FORT WORTH, TX 761165811 (Tel: 8177351616)

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Provider Name / Credentials Updated July 08, 2007

Recorded as WELDON BRYANT, D.D.S., P.A.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #9893 in TX)

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Initial NPI Registration & Enumeration July 20, 2005

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: 1457350464
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 20, 2005
Last Update: July 08, 2007
Deactivation Date: October 28, 2020

Mailing Address

3655 Chicora Ct, Apt. # 222

Fort Worth, TX 761165811

Phone: 8177351616

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.