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MRS. EVELYN MARIE BRYAN DMD
NPI 1720110901
Dentist in Manchester, NH

Active since March 12, 2007Opted out of Medicare · through Mar 30, 2028
765 SO MAIN ST, SUITE 202, MANCHESTER, NH 03102(603) 622-0279(603) 622-3542 Get Directions Write a Review

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

About Mrs. Evelyn Marie Bryan Dmd NPPES

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

MRS. EVELYN MARIE BRYAN DMD (NPI 1720110901) is an individual dentist in Manchester, New Hampshire, licensed in New Hampshire (2508) and active in the NPI registry since March 2007. She has opted out of Medicare through March 30, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1720110901
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameMRS. EVELYN MARIE BRYANCredential: DMD
Location Address765 SO MAIN ST, SUITE 202Manchester, NH 03102
Mailing Address765 South Main Street, Suite 202Manchester, NH 03102 · (603) 622-0279 · Fax (603) 622-3542
Phone(603) 622-0279
Fax(603) 622-3542
Sole ProprietorNo
Enumeration DateMarch 12, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1720110901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in NH · 2508
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
765 SO MAIN ST, Manchester, NH 03102
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Other Names 1

Professional Name (2)Evelyn M Bryan Dmd Pc

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Northeast Delta Dental.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mrs. Evelyn Marie Bryan Dmd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 30, 2016 through March 30, 2028.

Opt-Out Effective DateMarch 30, 2016
Opt-Out In Effect ThroughMarch 30, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03102 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$89.14 typical visit price
range $57.75 – $174.26
Typical copayment $22.28 (range $14.43 – $43.56)
Most-billed visit code 99203
Established Patient
$71.85 typical visit price
range $18.70 – $142.15
Typical copayment $17.96 (range $4.67 – $35.53)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Evelyn Bryan's NPI number?

The NPI number for Evelyn Bryan is 1720110901. It was assigned to this individual provider in the NPPES registry on March 12, 2007. The provider is also known as Evelyn M Bryan Dmd PC.

Where is Evelyn Bryan located?

Evelyn Bryan practices at 765 So Main St Suite 202, Manchester, NH 03102. The listed phone number is (603) 622-0279.

What is Evelyn Bryan's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Evelyn Bryan enrolled in Medicare?

No. Evelyn Bryan has opted out of Medicare through March 30, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Evelyn Bryan accept?

Health plans from Northeast Delta Dental list Evelyn Bryan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Evelyn Bryan 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.