Pensyl, Ryan Daniel

Pensyl, Ryan Daniel is an sole proprietor health care provider with primary practice located at 12600 Winchester Rd. , Cumberland MD 21502. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / Dentist is his primary health care specialty. Pensyl, Ryan Daniel can be contacted via phone (301) 729-0444.

Contact Information

Primary practice address
12600 Winchester Rd. Cumberland MD 21502
Fax: (301) 729-0404
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DS036965 Pennsylvania
Dental Providers / Dentist 122300000X 16067 Maryland

Profile Details

NPI number 1629186804
LBN Legal business name Pensyl, Ryan Daniel
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 28th, 2006
Last updated Dec 13th, 2022 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1629186804 NPPES
Maryland MEDICAID 110468300

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