Provider Demographics
NPI:1679705271
Name:HANKS, RYAN JOSEPH (DDS)
Entity Type:Individual
Prefix:DR
First Name:RYAN
Middle Name:JOSEPH
Last Name:HANKS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:8012 112TH STREET CT E
Mailing Address - Street 2:160
Mailing Address - City:PUYALLUP
Mailing Address - State:WA
Mailing Address - Zip Code:98373-7856
Mailing Address - Country:US
Mailing Address - Phone:253-840-0789
Mailing Address - Fax:253-841-6832
Practice Address - Street 1:8012 112TH STREET CT E
Practice Address - Street 2:160
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98373-7856
Practice Address - Country:US
Practice Address - Phone:253-840-0789
Practice Address - Fax:253-841-6832
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-14
Last Update Date:2016-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADENT.DE.601065721223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice