Park, Ryan

Park, Ryan is an individual health care provider with primary practice located at 411 Hurley Avenue , Rockville MD 20850. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Military Health Care Provider, Dental Providers / Oral and Maxillofacial Surgery, Dental Providers / Dentist. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Park, Ryan can be contacted via phone (224) 500-1814.

Contact Information

Primary practice address
411 Hurley Avenue Rockville MD 20850
Phone: (224) 500-1814
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Military Health Care Provider 171000000X 019.031142 Illinois
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 17982 Maryland
Dental Providers / Dentist 122300000X 019.031142 Illinois

Profile Details

NPI number 1316477524
LBN Legal business name Park, Ryan
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2017
Last updated Mar 4th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1316477524 NPPES
Illinois Other 019.031142 DENTAL LICENSE
Illinois Other 17982 DENTAL LICENSE

Popular Providers