NPI 1063039501

Shae Daniel Bryant, DDS

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Apo, AE

Practice location

Address: Building 944, Raf Lakenheath 48th Medical Group / Sgd, Apo, AE 09461-5300
Phone: (702) 423-7241
Mailing address: Unit 5210 Box 230, Apo, AE 09461-5210

Registered specialties

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 11826424-9924 (UT)

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Registry record

NPI: 1063039501
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Jul 2020
Record last updated: 1 Jul 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.