Diepenbrock, Ryan M.

Diepenbrock, Ryan M. is an individual health care provider with primary practice located at 7845 Carnegie Blvd Ste A , Fort Wayne IN 46804-5792. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery is his primary health care specialty. Diepenbrock, Ryan M. can be contacted via phone (260) 423-2340.

Contact Information

Primary practice address
7845 Carnegie Blvd Ste A Fort Wayne IN 46804-5792
Phone: (260) 423-2340
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 30-022164 Ohio
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 63091 California
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 12012587A Indiana

Profile Details

NPI number 1942399159
LBN Legal business name Diepenbrock, Ryan M.
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2006
Last updated Oct 9th, 2019 - about 5 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.

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