IndividualActive
Gary Bryant, DDS
NPI 1285630236 · General Practice Dentistry · Wagoner, OK
Provider details
- NPI number
- 1285630236
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- License
- 4016 (OK)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
104 N Prairie Ave
Wagoner, OK 74467-4320
Phone: (918) 485-4559
Fax: (918) 485-4550
Street-level locationGet directions
Mailing address
Po Box 448
Wagoner, OK 74477-0448
Registry dates
- Enumerated
- 2005-06-23
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.