Provider Demographics
NPI:1467056572
Name:RYAN R. FROST, DDS, PLLC
Entity Type:Organization
Organization Name:RYAN R. FROST, DDS, PLLC
Other - Org Name:GREENFIELD DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:R
Authorized Official - Last Name:FROST
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:319-939-5326
Mailing Address - Street 1:242 PUBLIC SQ
Mailing Address - Street 2:
Mailing Address - City:GREENFIELD
Mailing Address - State:IA
Mailing Address - Zip Code:50849-1258
Mailing Address - Country:US
Mailing Address - Phone:641-743-2314
Mailing Address - Fax:641-743-6397
Practice Address - Street 1:242 PUBLIC SQ
Practice Address - Street 2:
Practice Address - City:GREENFIELD
Practice Address - State:IA
Practice Address - Zip Code:50849-1258
Practice Address - Country:US
Practice Address - Phone:641-743-2314
Practice Address - Fax:641-743-6397
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-30
Last Update Date:2022-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental