MR. SHANE R BRYANT DMD
NPI 1417074873
Dentist - General Practice in Portland, ME

Active since March 23, 2007
1334 WASHINGTON AVE, PORTLAND, ME 04103(207) 797-5834(207) 797-8305 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Shane R Bryant Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. SHANE R BRYANT DMD (NPI 1417074873) is an individual general practice provider in Portland, Maine, licensed in Maine (3005) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1417074873
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameMR. SHANE R BRYANTCredential: DMD
Location Address1334 WASHINGTON AVEPortland, ME 04103-3670
Mailing Address1334 Washington AvePortland, ME 04103-3670 · (207) 797-5834 · Fax (207) 797-8305
Fax(207) 797-8305
Sole ProprietorNo
Enumeration DateMarch 23, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1417074873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in ME · 3005
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1334 WASHINGTON AVE, Portland, ME 04103

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
1334 WASHINGTON AVE
PORTLAND, ME 04103
Dentist (General Practice)
1334 WASHINGTON AVE
PORTLAND, ME 04103
Dentist (General Practice)
1334 WASHINGTON AVE
PORTLAND, ME 04103

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shane Bryant's NPI number?

The NPI number for Shane Bryant is 1417074873. It was assigned to this individual provider in the NPPES registry on March 23, 2007.

Where is Shane Bryant located?

Shane Bryant practices at 1334 Washington Ave, Portland, ME 04103. The listed phone number is (207) 797-5834.

What is Shane Bryant's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Shane Bryant was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.