NPI 1215141346

Brian C. Fryar, DDSMSD

Practitioner Orthodontics and Dentofacial Orthopedics Dentistry La Porte, IN

Practice location

Address: 1700 a St, La Porte, IN 46350-5925
Phone: (219) 362-5500

Registered specialties

Orthodontics and Dentofacial Orthopedics Dentistry Primary

Dental Providers Taxonomy 1223X0400X Licence 1200-8697A (IN)

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Registry record

NPI: 1215141346
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 May 2007
Record last updated: 8 Jul 2007

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.