Ryan David Bastyr, DMD

Dentist · Great Lakes, IL

Individual Active NPI

NPI number 1609759323

Practice location

2410 Sampson St
Great Lakes, IL 60088-2942
Phone
(847) 688-2469

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NPI record

NPI
1609759323
Entity type
Individual (Type 1)
Enumeration date
July 29, 2025
Last updated
July 29, 2025
Certified
June 30, 2025
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X DS045379 PA

Mailing address

420 Timberlake Dr
Venetia, PA 15367-1394
Phone
(412) 616-2237

About Dr. Bastyr

Ryan David Bastyr, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 2410 Sampson St, Great Lakes, IL 60088-2942. The NPI number 1609759323 was assigned on July 29, 2025 and the record was last updated on July 29, 2025.

Dr. Bastyr lists a license in the registry: #DS045379 (PA) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Ryan David Bastyr, DMD?

The NPI number is 1609759323.

What is the phone number of Dr. Bastyr?

The phone number listed for the practice location is (847) 688-2469.

Where is Dr. Bastyr located?

2410 Sampson St, Great Lakes, IL 60088-2942.

What is the taxonomy code for Dr. Bastyr?

The primary taxonomy code is 122300000X – Dentist.

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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