Provider Demographics
NPI:1508216771
Name:ORLOSKY, RYAN MICHAEL (DMD, FICOI, FAGD)
Entity Type:Individual
Prefix:DR
First Name:RYAN
Middle Name:MICHAEL
Last Name:ORLOSKY
Suffix:
Gender:M
Credentials:DMD, FICOI, FAGD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6316 E INDEPENDENCE BLVD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28212-6953
Mailing Address - Country:US
Mailing Address - Phone:980-265-3180
Mailing Address - Fax:980-337-4435
Practice Address - Street 1:10A YORKSHIRE ST STE 110
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-2718
Practice Address - Country:US
Practice Address - Phone:828-274-1616
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-17
Last Update Date:2022-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC104291223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice