Provider Demographics
NPI:1669243028
Name:RYAN MORRISON DMD LLC
Entity type:Organization
Organization Name:RYAN MORRISON DMD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL DENTIST OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MORRISON
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:256-459-5309
Mailing Address - Street 1:PO BOX 268
Mailing Address - Street 2:
Mailing Address - City:ATTALLA
Mailing Address - State:AL
Mailing Address - Zip Code:35954-0268
Mailing Address - Country:US
Mailing Address - Phone:256-459-5309
Mailing Address - Fax:256-459-5306
Practice Address - Street 1:315 N 3RD ST
Practice Address - Street 2:
Practice Address - City:GADSDEN
Practice Address - State:AL
Practice Address - Zip Code:35901-3201
Practice Address - Country:US
Practice Address - Phone:256-459-5309
Practice Address - Fax:256-459-5306
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-12
Last Update Date:2024-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental