Provider Demographics
NPI:1295961829
Name:FALKE, RYAN ROBERT (DDS)
Entity type:Individual
Prefix:DR
First Name:RYAN
Middle Name:ROBERT
Last Name:FALKE
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 1:757W 7TH ST 102
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89503-3672
Mailing Address - Country:US
Mailing Address - Phone:775-329-2299
Mailing Address - Fax:775-329-2450
Practice Address - Street 1:757 W 7TH ST STE 102
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89503-3672
Practice Address - Country:US
Practice Address - Phone:775-284-2500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-10
Last Update Date:2016-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA58325122300000X
NVS1-1361223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery