Ryan, Mark T

Ryan, Mark T is an individual health care provider with primary practice located at 622 Savin Avenue , West Haven CT 06516-4936. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Dental Hygienist. Dental Providers / Dentist is his primary health care specialty. Ryan, Mark T can be contacted via phone (203) 933-7095.

Contact Information

Primary practice address
622 Savin Avenue West Haven CT 06516-4936
Phone: (203) 933-7095
Fax: (203) 937-5766
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 008359 Connecticut
Dental Providers / Dental Hygienist 124Q00000X 05006 Connecticut
Dental Providers / Dental Hygienist 124Q00000X 005913 Connecticut

Profile Details

NPI number 1740322049
LBN Legal business name Ryan, Mark T
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2007
Last updated Jul 8th, 2007 - about 17 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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