Provider Demographics
NPI:1043939408
Name:NUSET SILVER SPRINGS LLC
Entity Type:Organization
Organization Name:NUSET SILVER SPRINGS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:RYAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, MD
Authorized Official - Phone:303-422-2990
Mailing Address - Street 1:7991 VANCE DR STE A
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80003-2148
Mailing Address - Country:US
Mailing Address - Phone:303-422-2990
Mailing Address - Fax:
Practice Address - Street 1:2415 MULSGROVE ROAD
Practice Address - Street 2:SUITE 109
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20904
Practice Address - Country:US
Practice Address - Phone:301-384-5700
Practice Address - Fax:301-384-5619
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NUSET ARVADA PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-08-26
Last Update Date:2022-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty