Provider Demographics
NPI:1235682071
Name:MCLENNAN, RYANN MICHELLE (DMD)
Entity Type:Individual
Prefix:
First Name:RYANN
Middle Name:MICHELLE
Last Name:MCLENNAN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:RYANN
Other - Middle Name:MICHELLE
Other - Last Name:BELCHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:570 ALYDAR CT
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89521-8371
Mailing Address - Country:US
Mailing Address - Phone:775-379-6365
Mailing Address - Fax:
Practice Address - Street 1:3362 S MCCARRAN BLVD
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-6442
Practice Address - Country:US
Practice Address - Phone:775-329-5437
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-28
Last Update Date:2021-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV68271223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice