Provider Demographics
NPI:1679183701
Name:RYBA DENTISTRY LLC
Entity Type:Organization
Organization Name:RYBA DENTISTRY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:RYBA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:216-789-5791
Mailing Address - Street 1:3219 DETROIT AVE STE 102
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44113-2759
Mailing Address - Country:US
Mailing Address - Phone:216-524-2499
Mailing Address - Fax:216-524-1807
Practice Address - Street 1:3219 DETROIT AVE STE 102
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44113-2759
Practice Address - Country:US
Practice Address - Phone:216-524-2499
Practice Address - Fax:216-524-1807
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-04
Last Update Date:2020-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty