Provider Demographics
NPI:1801132204
Name:WILLIAMS, RYAN PATRICK (DDS, MS)
Entity type:Individual
Prefix:DR
First Name:RYAN
Middle Name:PATRICK
Last Name:WILLIAMS
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Gender:M
Credentials:DDS, MS
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Mailing Address - Street 1:2510 W CHESTNUT AVE
Mailing Address - Street 2:STE A
Mailing Address - City:ENID
Mailing Address - State:OK
Mailing Address - Zip Code:73703
Mailing Address - Country:US
Mailing Address - Phone:580-540-3211
Mailing Address - Fax:580-701-6416
Practice Address - Street 1:2510 W CHESTNUT AVE
Practice Address - Street 2:STE A
Practice Address - City:ENID
Practice Address - State:OK
Practice Address - Zip Code:73703
Practice Address - Country:US
Practice Address - Phone:580-540-3211
Practice Address - Fax:580-701-6416
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-13
Last Update Date:2016-08-17
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Provider Licenses
StateLicense IDTaxonomies
OK1921223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics