Ryan, Mark Daniel

Ryan, Mark Daniel is an individual health care provider with primary practice located at 2133 Pepperrell St Bldg 3352 , Jbsa Lackland TX 78236-5313. He recently has 2 registered licenses in different health care specialties including Dental Providers / Orthodontics and Dentofacial Orthopedics, Dental Providers / Dentist. Dental Providers / Orthodontics and Dentofacial Orthopedics is his primary health care specialty. Ryan, Mark Daniel can be contacted via phone (210) 292-6258.

Contact Information

Primary practice address
2133 Pepperrell St Bldg 3352 Jbsa Lackland TX 78236-5313
Phone: (210) 292-6258
Fax: (210) 292-2618
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 019.029011 Illinois
Dental Providers / Dentist 122300000X 019029011 Illinois

Profile Details

NPI number 1023354388
LBN Legal business name Ryan, Mark Daniel
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2012
Last updated Jul 28th, 2023 - about last year

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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