Provider Demographics
NPI:1124336227
Name:BRYINGTON, MATTHEW SCOTT (DMD, MS)
Entity type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:SCOTT
Last Name:BRYINGTON
Suffix:
Gender:M
Credentials:DMD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37153 STATE ROAD 54
Mailing Address - Street 2:
Mailing Address - City:ZEPHYRHILLS
Mailing Address - State:FL
Mailing Address - Zip Code:33542-6935
Mailing Address - Country:US
Mailing Address - Phone:813-788-0451
Mailing Address - Fax:813-788-4190
Practice Address - Street 1:37153 STATE ROAD 54
Practice Address - Street 2:
Practice Address - City:ZEPHYRHILLS
Practice Address - State:FL
Practice Address - Zip Code:33542-6935
Practice Address - Country:US
Practice Address - Phone:813-788-0451
Practice Address - Fax:813-788-4190
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-23
Last Update Date:2021-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV40661223P0700X
OH30-0233371223P0700X
GADN0139801223P0700X
FLDN247701223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0700XDental ProvidersDentistProsthodontics