Provider Demographics
NPI:1235152752
Name:LOVE, RYAN R (DDS, PC)
Entity Type:Individual
Prefix:DR
First Name:RYAN
Middle Name:R
Last Name:LOVE
Suffix:
Gender:M
Credentials:DDS, PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:420 N EVERGREEN RD STE 600
Mailing Address - Street 2:
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99216-0993
Mailing Address - Country:US
Mailing Address - Phone:509-928-2525
Mailing Address - Fax:509-928-3225
Practice Address - Street 1:420 N EVERGREEN RD STE 600
Practice Address - Street 2:
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99216-0993
Practice Address - Country:US
Practice Address - Phone:509-928-2525
Practice Address - Fax:509-928-3225
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA81851223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice