Provider Demographics
NPI:1801093067
Name:MARSH, RYAN A (DDS)
Entity type:Individual
Prefix:
First Name:RYAN
Middle Name:A
Last Name:MARSH
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
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Mailing Address - Street 1:7400 FLEUR DR
Mailing Address - Street 2:STE 200
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50321-3105
Mailing Address - Country:US
Mailing Address - Phone:515-287-7773
Mailing Address - Fax:515-287-7279
Practice Address - Street 1:7400 FLEUR DR
Practice Address - Street 2:STE 200
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50321-3105
Practice Address - Country:US
Practice Address - Phone:515-287-7773
Practice Address - Fax:515-287-7279
Is Sole Proprietor?:No
Enumeration Date:2007-06-29
Last Update Date:2011-07-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IA084851223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery