Radke, Ryle August

Radke, Ryle August is an individual health care provider with primary practice located at 2136 Airport Way Suite 1, Fairbanks AK 99701. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Radke, Ryle August can be contacted via phone (907) 457-4480.

Contact Information

Primary practice address
2136 Airport Way Suite 1 Fairbanks AK 99701
Phone: (907) 457-4480
Fax: (907) 452-3865
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X AA549 Alaska

Profile Details

NPI number 1649315227
LBN Legal business name Radke, Ryle August
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2007
Last updated Jul 8th, 2007 - about 18 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 1649315227 NPPES
Alaska MEDICAID DD0549

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