Burleson, Ryan W.
Burleson, Ryan W. is an sole proprietor health care provider with primary practice located at 1011 W Williams St Suite 105, Apex NC 27502-3979. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Endodontics. Dental Providers / Endodontics is his primary health care specialty. Burleson, Ryan W. can be contacted via phone (919) 367-2875.Contact Information
Primary practice address
1011 W Williams St Suite 105
Apex NC 27502-3979
Phone: (919) 367-2875
Fax: (919) 367-2855
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 21556 | Ohio |
| Dental Providers / Dentist | 122300000X | 3700 | West Virginia |
| Dental Providers / Endodontics | 1223E0200X | 8533 | North Carolina |
Profile Details
| NPI number | 1477671915 |
|---|---|
| LBN Legal business name | Burleson, Ryan W. |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 26th, 2007 |
| Last updated | Aug 15th, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477671915 | NPPES |
| Ohio | Other | 810556546 | TAX ID |
| Ohio | MEDICAID | 2350290 | TAX ID |
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