Tschetter, Ryan David

Tschetter, Ryan David is an individual health care provider with primary practice located at 1124 S College Mall Rd , Bloomington IN 47401. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is his primary health care specialty. Tschetter, Ryan David can be contacted via phone (812) 336-5525.

Contact Information

Primary practice address
1124 S College Mall Rd Bloomington IN 47401
Phone: (812) 336-5525
Fax: (812) 332-5520
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 12010765A Indiana
Dental Providers / General Practice 1223G0001X 12010765A Indiana

Profile Details

NPI number 1457431629
LBN Legal business name Tschetter, Ryan David
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2006
Last updated May 17th, 2018 - about 7 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 1457431629 NPPES
Indiana MEDICAID 200974140A

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