Provider Demographics
NPI:1861140527
Name:BRYANT GIANG DDS LLC
Entity type:Organization
Organization Name:BRYANT GIANG DDS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRYANT
Authorized Official - Middle Name:VAN
Authorized Official - Last Name:GIANG
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:316-207-4237
Mailing Address - Street 1:1005 S BURRUS ST
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67207-3609
Mailing Address - Country:US
Mailing Address - Phone:316-207-4237
Mailing Address - Fax:
Practice Address - Street 1:2814 OHIO ST
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:KS
Practice Address - Zip Code:67010-2361
Practice Address - Country:US
Practice Address - Phone:316-775-5451
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-12
Last Update Date:2023-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty