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Dr. Keith Andrew Bryant, DMD
General Practice Dentistry in Glen Carbon, Illinois
NPI 1487714499

Keith Andrew Bryant is a General Practice Dentistry based in Glen Carbon, IL and is specialized in General Practice. Keith Andrew Bryant practices in Glen Carbon, IL and has the professional credentials of DMD. The NPI Number for Keith Andrew Bryant is 1487714499 and holds a License No. (Illinois).

The current practice location address for Keith Andrew Bryant is 4224 S State Route 159, Glen Carbon, IL and can be reached out via phone at 618-288-6227 and via fax at 618-288-6472.

Location: 4224 S State Route 159, Glen Carbon, IL, 62034-3201
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487714499
Provider Name
Keith Andrew Bryant
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
4224 S State Route 159, Glen Carbon, IL, 62034-3201
Phone Number
618-288-6227
Fax Number
618-288-6472
Provider Enumeration Date
12/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
871019 01 IL UNITED CONCORDIA
institution
Provider Business Practice Location Address Details
Address
4224 S State Route 159
City
Glen Carbon
State
Illinois
Zip
62034-3201
Phone Number
618-288-6227
Fax Number
618-288-6472
person
Provider Business Mailing Address Details
Address
4224 S State Route 159
City
Glen Carbon
State
Illinois
Zip
62034-3201
Phone Number
618-288-6227
Fax Number
618-288-6472
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
(Illinois)
Definition
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.
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