Active NPIIndividual providerSole proprietor

Dr. Ryan D Blissett, DMD

Dentist, Prosthodontics in Brookline, Massachusetts

NPI Number1972690691
Practice location
1540 Beacon St, Brookline, MA 02446-2215
Fax
—
Last updated
May 31, 2009

Ryan Douglas Blissett is a Dentist, Prosthodontics based in Brookline, MA. Ryan Douglas Blissett practices in Brookline, MA and has the professional credentials of DMD. The NPI Number for Ryan Douglas Blissett is 1972690691 and holds a License No. 21630 (MA). The current practice location address for Ryan Douglas Blissett is 1540 Beacon St, Brookline, MA 02446-2215 and can be reached out via phone at 617-738-1950.

Provider Profile Details

NPI Number
1972690691
Provider Name
Ryan Douglas Blissett
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
1540 Beacon St, Brookline, MA 02446-2215
Phone Number
617-738-1950
Primary Taxonomy
Dentist, Prosthodontics · 1223P0700X
Sole Proprietor
Yes
Provider Enumeration Date
October 6, 2006
Last Update Date
May 31, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
1540 Beacon St
Brookline, MA 02446-2215
Zip
02446-2215
Phone Number
617-738-1950
Brookline, MA 02446Get directions →

Provider Business Mailing Address Details

Address
1540 Beacon St
Brookline, MA 02446-2215
City
Brookline
State
MA
Zip
02446-2215
Phone Number
617-738-1950

License Information

License Number
21630
License State
MA
Taxonomy
Dentist, Prosthodontics · 1223P0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Ryan D Blissett, DMD?

The NPI number of Dr. Ryan D Blissett, DMD is 1972690691. It was assigned on October 6, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Ryan D Blissett, DMD?

Dr. Ryan D Blissett, DMD is registered under the primary taxonomy Dentist, Prosthodontics (code 1223P0700X), licensed in MA under license number 21630.

Where does Dr. Ryan D Blissett, DMD practice?

The practice location is 1540 Beacon St, Brookline, MA 02446-2215. The office can be reached at 617-738-1950 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1972690691 directly on the NPPES registry website.

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