Provider Demographics
NPI:1194280222
Name:BYARS HOLDING PLLC
Entity type:Organization
Organization Name:BYARS HOLDING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:CARL
Authorized Official - Last Name:BYARS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:586-909-1319
Mailing Address - Street 1:13406 GOLDFINCH DR
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD RANCH
Mailing Address - State:FL
Mailing Address - Zip Code:34202-8276
Mailing Address - Country:US
Mailing Address - Phone:586-909-1319
Mailing Address - Fax:
Practice Address - Street 1:3140 S FALKENBURG RD STE 204
Practice Address - Street 2:
Practice Address - City:RIVERVIEW
Practice Address - State:FL
Practice Address - Zip Code:33578-2594
Practice Address - Country:US
Practice Address - Phone:813-906-0001
Practice Address - Fax:813-906-0163
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BYARS HOLDING PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-02-03
Last Update Date:2019-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental