National Provider Identifier
Bryan D Petryszak, DMD
Bryan D Petryszak, DMD is listed in the NPPES registry with a primary specialty of General Practice Dentistry in Portville, NY and a listed phone number of (716) 933-6787.
Profile Overview
- NPI
- 1407844426
- Provider Type
- Individual
- Primary Specialty
- General Practice Dentistry
- Enumeration Date
- October 13, 2005
- Last Updated
- July 08, 2007
Practice Location
- 149 S Main St
- Portville, NY 14770-9703
Phone: (716) 933-6787
Specialties
- General Practice Dentistry (1223G0001X)
Full Record
- NPI
- 1407844426
- Entity Type
- Individual
- Last Name
- Petryszak
- First Name
- Bryan
- Middle Name
- D
- Name Prefix
- Dr.
- Credential
- DMD
- Mailing Street Address
- 149 S Main St
- Mailing City
- Portville
- Mailing State
- NY
- Mailing ZIP Code
- 14770-9703
- Mailing Country
- US
- Mailing Phone
- (716) 933-6787
- Mailing Fax
- (716) 933-6933
- Practice Street Address
- 149 S Main St
- Practice City
- Portville
- Practice State
- NY
- Practice ZIP Code
- 14770-9703
- Practice Country
- US
- Practice Phone
- (716) 933-6787
- Practice Fax
- (716) 933-6933
- Enumeration Date
- October 13, 2005
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- General Practice Dentistry (1223G0001X)
- Other Identifiers
- 02386001 (NY)