Ryser, Mark Ralph

Ryser, Mark Ralph is an sole proprietor health care provider with primary practice located at 6287 S Redwood Rd Ste 103 , Taylorsville UT 84123-6653. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Ryser, Mark Ralph can be contacted via phone (801) 261-2444.

Contact Information

Primary practice address
6287 S Redwood Rd Ste 103 Taylorsville UT 84123-6653
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 6540390-9924 Utah
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 6540390-1205 Utah

Profile Details

NPI number 1942321518
LBN Legal business name Ryser, Mark Ralph
Credentials D.M.D., M.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 2nd, 2007
Last updated Apr 16th, 2008 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1942321518 NPPES
Louisiana MEDICAID 1057428

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