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Dr Michael Ryan Pc
Oral and Maxillofacial Surgery (Dentist) in Upland, Pennsylvania
NPI 1437104080

Dr Michael Ryan Pc is a Oral and Maxillofacial Surgery (Dentist) based in Upland, PA and is specialized in Oral and Maxillofacial Surgery. Dr Michael Ryan Pc practices in Upland, PA. The NPI Number for Dr Michael Ryan Pc is 1437104080 and holds a License No. DS016527L (Pennsylvania).

The current practice location address for Dr Michael Ryan Pc is 30 Medical Center Blvd, Upland, PA and can be reached out via phone at 610-872-1355 and via fax at 610-874-2587.

Location: 30 Medical Center Blvd, Upland, PA, 19013-3955
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1437104080
Provider Name
Dr Michael Ryan Pc
Credential
Provider Entity Type
Organization
Address
30 Medical Center Blvd, Upland, PA, 19013-3955
Phone Number
610-872-1355
Fax Number
610-874-2587
Provider Enumeration Date
05/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2049879000 01 PA HMO PA GROUP ID
institution
Provider Business Practice Location Address Details
Address
30 Medical Center Blvd
City
Upland
State
Pennsylvania
Zip
19013-3955
Phone Number
610-872-1355
Fax Number
610-874-2587
person
Provider Business Mailing Address Details
Address
30 Medical Center Blvd
City
Upland
State
Pennsylvania
Zip
19013-3955
Phone Number
610-872-1355
Fax Number
610-874-2587
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
DS016527L (Pennsylvania)
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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