Provider Demographics
NPI:1356099675
Name:RYAN WARING DDS, PLLC
Entity type:Organization
Organization Name:RYAN WARING DDS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:DOUGLAS
Authorized Official - Last Name:WARING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:775-329-8886
Mailing Address - Street 1:10447 DOUBLE R BLVD
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89521-9011
Mailing Address - Country:US
Mailing Address - Phone:775-329-8886
Mailing Address - Fax:
Practice Address - Street 1:10447 DOUBLE R BLVD
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89521-9011
Practice Address - Country:US
Practice Address - Phone:775-329-8886
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-15
Last Update Date:2022-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental