Provider Demographics
NPI:1518597822
Name:RYAN SCHEIDEL DDS, PLLC
Entity Type:Organization
Organization Name:RYAN SCHEIDEL DDS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHEIDEL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:303-798-2305
Mailing Address - Street 1:2318 BELLAIRE ST UNIT A
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80207-3119
Mailing Address - Country:US
Mailing Address - Phone:720-808-3390
Mailing Address - Fax:
Practice Address - Street 1:7261 S BROADWAY STE 102
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80122-8018
Practice Address - Country:US
Practice Address - Phone:303-798-2305
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-26
Last Update Date:2020-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental