Provider Demographics
NPI:1093918567
Name:NEBEL, RYAN P (DMD)
Entity Type:Individual
Prefix:DR
First Name:RYAN
Middle Name:P
Last Name:NEBEL
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3105 WILMINGTON RD
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:PA
Mailing Address - Zip Code:16105-1131
Mailing Address - Country:US
Mailing Address - Phone:724-654-2330
Mailing Address - Fax:724-658-3719
Practice Address - Street 1:3105 WILMINGTON RD
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:PA
Practice Address - Zip Code:16105-1131
Practice Address - Country:US
Practice Address - Phone:724-654-2330
Practice Address - Fax:724-658-3719
Is Sole Proprietor?:No
Enumeration Date:2007-06-11
Last Update Date:2022-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS037229122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist