Amanda Rose Ryan, DMD

General Practice Dentistry · Appleton, WI

Individual Active NPI

NPI number 1346815131

Practice location

811 N Lynndale Dr Ste 1a
Appleton, WI 54914-3085
Phone
(920) 739-1055

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NPI record

NPI
1346815131
Entity type
Individual (Type 1)
Enumeration date
May 24, 2021
Last updated
June 18, 2021
Certified
June 18, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 1002583-15 WI
Student in an Organized Health Care Education/Training Program 390200000X — MA

Mailing address

1435 N McCarthy Rd Apt 5
Appleton, WI 54913-8285
Phone
(413) 242-8142

About Dr. Ryan

Amanda Rose Ryan, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 811 N Lynndale Dr Ste 1a, Appleton, WI 54914-3085. The NPI number 1346815131 was assigned on May 24, 2021 and the record was last updated on June 18, 2021.

Dr. Ryan lists a license in the registry: #1002583-15 (WI) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Amanda Rose Ryan, DMD?

The NPI number is 1346815131.

What is the phone number of Dr. Ryan?

The phone number listed for the practice location is (920) 739-1055.

Where is Dr. Ryan located?

811 N Lynndale Dr Ste 1a, Appleton, WI 54914-3085.

What is the taxonomy code for Dr. Ryan?

The primary taxonomy code is 1223G0001X – General Practice Dentistry; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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