Carla Peterson Bryan, DDS

General Practice Dentistry · San Clemente, CA

Individual Active NPI

NPI number 1144329665

Practice location

657 Camino De Las Mares
Suite 138
San Clemente, CA 92673

Phone: (949) 487-6780
Fax: (949) 487-6781

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NPI record

NPI: 1144329665
Entity type: Individual (Type 1)
Enumeration date: September 21, 2006
Last updated: July 8, 2007
Sole proprietor: No

Specialties & taxonomy codes

Taxonomy	Code	License	State
General Practice Dentistry Primary	`1223G0001X`	DV35362	CA

About Dr. Bryan

Carla Peterson Bryan, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 657 Camino De Las Mares, Suite 138, San Clemente, CA 92673. The NPI number 1144329665 was assigned on September 21, 2006 and the record was last updated on July 8, 2007.

Dr. Bryan lists a license in the registry: #DV35362 (CA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Carla Peterson Bryan, DDS?

The NPI number is 1144329665.

What is the phone number of Dr. Bryan?

The phone number listed for the practice location is (949) 487-6780.

Where is Dr. Bryan located?

657 Camino De Las Mares, Suite 138, San Clemente, CA 92673.

What is the taxonomy code for Dr. Bryan?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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