Provider Demographics
NPI:1356816375
Name:RYAN BLAND, DDS, LLC
Entity Type:Organization
Organization Name:RYAN BLAND, DDS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DR.
Authorized Official - Prefix:
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BLAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-436-2525
Mailing Address - Street 1:9241 N OAK TRFY
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64155-3392
Mailing Address - Country:US
Mailing Address - Phone:816-436-2525
Mailing Address - Fax:816-436-1306
Practice Address - Street 1:9241 N OAK TRFY
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64155-3392
Practice Address - Country:US
Practice Address - Phone:816-436-2525
Practice Address - Fax:816-436-1306
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-05
Last Update Date:2018-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental