Provider Demographics
NPI:1427192681
Name:RYAN, PATRICK J II (DDS)
Entity Type:Individual
Prefix:
First Name:PATRICK
Middle Name:J
Last Name:RYAN
Suffix:II
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6300 W PARKER RD
Mailing Address - Street 2:SUITE 322
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-8100
Mailing Address - Country:US
Mailing Address - Phone:972-608-4746
Mailing Address - Fax:972-608-4749
Practice Address - Street 1:6300 W PARKER RD
Practice Address - Street 2:SUITE 322
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-8100
Practice Address - Country:US
Practice Address - Phone:972-608-4746
Practice Address - Fax:972-608-4749
Is Sole Proprietor?:No
Enumeration Date:2007-02-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX194071223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry