Provider Demographics
NPI:1851497556
Name:BRITTINGHAM, RYAN L (DDS)
Entity Type:Individual
Prefix:
First Name:RYAN
Middle Name:L
Last Name:BRITTINGHAM
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4900 LEGENDS DR
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66049-3886
Mailing Address - Country:US
Mailing Address - Phone:785-841-5590
Mailing Address - Fax:785-856-2339
Practice Address - Street 1:4900 LEGENDS DR
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66049-3886
Practice Address - Country:US
Practice Address - Phone:785-841-5590
Practice Address - Fax:785-856-2339
Is Sole Proprietor?:No
Enumeration Date:2006-09-16
Last Update Date:2020-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS116786122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist