Theobald, Ryan John

Theobald, Ryan John is an individual health care provider with primary practice located at 1041 E Hwy 152 , Mustang OK 73064-5117. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Theobald, Ryan John can be contacted via phone (405) 518-4011.

Contact Information

Primary practice address
1041 E Hwy 152 Mustang OK 73064-5117
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 6302 Oklahoma

Profile Details

NPI number 1508154634
LBN Legal business name Theobald, Ryan John
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2011
Last updated Jul 11th, 2011 - about 15 years ago

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.

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