IndividualActive
Matthew Bryant, DDS
NPI 1396354809 · Periodontics · Springfield, MO
Provider details
- NPI number
- 1396354809
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 2020023335 (MO)
Specialties & taxonomies
Dental Providers
Dental Providers
Practice location
1355 E Bradford Pkwy
Springfield, MO 65804-4385
Phone: (417) 882-4600
Fax: (417) 882-1677
Approximate (ZIP-level) locationGet directions
Mailing address
1238 S Mulberry Ave
Springfield, MO 65802-7849
Registry dates
- Enumerated
- 2020-07-30
- Last updated
- 2024-03-26
- Certified
- 2024-03-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.