Provider Demographics
NPI:1235461609
Name:SLATEN, RYAN P (DDS)
Entity Type:Individual
Prefix:DR
First Name:RYAN
Middle Name:P
Last Name:SLATEN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16716 CHILLICOTHE RD
Mailing Address - Street 2:SUITE 700
Mailing Address - City:CHAGRIN FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44023-4595
Mailing Address - Country:US
Mailing Address - Phone:440-708-0900
Mailing Address - Fax:440-708-0904
Practice Address - Street 1:16716 CHILLICOTHE RD
Practice Address - Street 2:SUITE 700
Practice Address - City:CHAGRIN FALLS
Practice Address - State:OH
Practice Address - Zip Code:44023-4595
Practice Address - Country:US
Practice Address - Phone:440-708-0900
Practice Address - Fax:440-708-0904
Is Sole Proprietor?:No
Enumeration Date:2010-02-09
Last Update Date:2010-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH300231551223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice