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Dr. Ryan Wisdom, DDS
General Practice Dentistry in Middletown, New York
NPI 1528588167

Ryan Wisdom is a General Practice Dentistry based in Middletown, NY and is specialized in General Practice. Ryan Wisdom practices in Middletown, NY and has the professional credentials of DDS. The NPI Number for Ryan Wisdom is 1528588167 and holds a License No. (New York).

The current practice location address for Ryan Wisdom is 75 Dolson Ave, Middletown, NY and can be reached out via phone at 845-476-3888.

Location: 75 Dolson Ave, Middletown, NY, 10940-6501
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528588167
Provider Name
Ryan Wisdom
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
75 Dolson Ave, Middletown, NY, 10940-6501
Phone Number
845-476-3888
Fax Number
Provider Enumeration Date
06/25/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
75 Dolson Ave
City
Middletown
State
New York
Zip
10940-6501
Phone Number
845-476-3888
Fax Number
person
Provider Business Mailing Address Details
Address
75 Dolson Ave
City
Middletown
State
New York
Zip
10940-6501
Phone Number
845-476-3888
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
059915 (New York)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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