Provider Demographics
NPI:1588854152
Name:PENDLETON, RYAN CURTIS (DDS)
Entity Type:Individual
Prefix:DR
First Name:RYAN
Middle Name:CURTIS
Last Name:PENDLETON
Suffix:
Gender:M
Credentials:DDS
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Mailing Address - Street 1:1840 CRYSTAL FALLS PARKWAY
Mailing Address - Street 2:SUITE #420
Mailing Address - City:LEANDER
Mailing Address - State:TX
Mailing Address - Zip Code:78641-4108
Mailing Address - Country:US
Mailing Address - Phone:512-355-7727
Mailing Address - Fax:512-355-7729
Practice Address - Street 1:18433 ROSCOE BLVD
Practice Address - Street 2:SUITE #201
Practice Address - City:NORTHRIDGE
Practice Address - State:CA
Practice Address - Zip Code:91325-4108
Practice Address - Country:US
Practice Address - Phone:818-882-0100
Practice Address - Fax:818-882-0101
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-30
Last Update Date:2018-03-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TX315521223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics