Provider Demographics
NPI:1760261986
Name:RYLE DENTAL CARE PLLC
Entity Type:Organization
Organization Name:RYLE DENTAL CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:TARA
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:RYLE
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:859-462-5224
Mailing Address - Street 1:3180 MANOR HL
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:41015-9568
Mailing Address - Country:US
Mailing Address - Phone:859-462-5224
Mailing Address - Fax:
Practice Address - Street 1:2523 DIXIE HWY
Practice Address - Street 2:
Practice Address - City:FORT MITCHELL
Practice Address - State:KY
Practice Address - Zip Code:41017-3009
Practice Address - Country:US
Practice Address - Phone:859-331-8868
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-26
Last Update Date:2023-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental