Bryant, Katherine Bray

Bryant, Katherine Bray is an individual health care provider with primary practice located at 7465 Northside Dr , North Charleston SC 29420-4209. She recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is her primary health care specialty. Bryant, Katherine Bray can be contacted via phone (843) 797-5400.

Contact Information

Primary practice address
7465 Northside Dr North Charleston SC 29420-4209
Phone: (843) 797-5400
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 4046 South Carolina
Dental Providers / Pediatric Dentistry 1223P0221X 710 South Carolina

Profile Details

NPI number 1982781001
LBN Legal business name Bryant, Katherine Bray
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Nov 9th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982781001 NPPES
South Carolina MEDICAID ZX4046

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