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Dr. Lawrence P Ryan, DDS,MD
Oral and Maxillofacial Surgery (Dentist) in Marlborough, Connecticut
NPI 1205961042

Lawrence P Ryan is a Oral and Maxillofacial Surgery (Dentist) based in Marlborough, CT and is specialized in Oral and Maxillofacial Surgery. Lawrence P Ryan practices in Marlborough, CT and has the professional credentials of DDS,MD. The NPI Number for Lawrence P Ryan is 1205961042 and holds a License No. 007529 (Connecticut).

The current practice location address for Lawrence P Ryan is 11 S Main St, Marlborough, CT and can be reached out via phone at 860-295-8780 and via fax at 860-295-0875.

Location: 11 S Main St, Marlborough, CT, 06447-1553
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205961042
Provider Name
Lawrence P Ryan
Credential
DDS,MD
Provider Entity Type
Individual
Gender
Male
Address
11 S Main St, Marlborough, CT, 06447-1553
Phone Number
860-295-8780
Fax Number
860-295-0875
Provider Enumeration Date
02/22/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
020007529CT07 01 CT ANTHEM BLUE CROSS
4332423 01 TX AETNA
007529 01 CT CONNECTICARE INSURANCE
207529 01 NJ DELTA
0418117 01 PA CIGNA
204861 01 TN CIGNA DENTAL HEALTH
institution
Provider Business Practice Location Address Details
Address
11 S Main St
City
Marlborough
State
Connecticut
Zip
06447-1553
Phone Number
860-295-8780
Fax Number
860-295-0875
person
Provider Business Mailing Address Details
Address
11 S Main St
City
Marlborough
State
Connecticut
Zip
06447-1553
Phone Number
860-295-8780
Fax Number
860-295-0875
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
007529 (Connecticut)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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