Provider Demographics
NPI:1780208165
Name:RYAN R LOVE DDS PC
Entity Type:Organization
Organization Name:RYAN R LOVE DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:R
Authorized Official - Last Name:LOVE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:509-928-2525
Mailing Address - Street 1:420 N EVERGREEN RD STE 600
Mailing Address - Street 2:
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99216-0993
Mailing Address - Country:US
Mailing Address - Phone:509-928-2525
Mailing Address - Fax:509-928-3225
Practice Address - Street 1:420 N EVERGREEN RD STE 600
Practice Address - Street 2:
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99216-0993
Practice Address - Country:US
Practice Address - Phone:509-928-2525
Practice Address - Fax:509-928-3225
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-02
Last Update Date:2020-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty