Provider Demographics
NPI:1851679906
Name:HELMS, RYAN BRADLEY (DDS MSD)
Entity Type:Individual
Prefix:DR
First Name:RYAN
Middle Name:BRADLEY
Last Name:HELMS
Suffix:
Gender:M
Credentials:DDS MSD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1748 NORTHWESTERN AVE
Mailing Address - Street 2:
Mailing Address - City:WEST LAFAYETTE
Mailing Address - State:IN
Mailing Address - Zip Code:47906-2271
Mailing Address - Country:US
Mailing Address - Phone:765-463-6622
Mailing Address - Fax:
Practice Address - Street 1:1748 NORTHWESTERN AVE
Practice Address - Street 2:
Practice Address - City:WEST LAFAYETTE
Practice Address - State:IN
Practice Address - Zip Code:47906-2271
Practice Address - Country:US
Practice Address - Phone:765-463-6622
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-22
Last Update Date:2011-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12011578A1223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics