Tracy, Richard Ryan

Tracy, Richard Ryan is an individual health care provider with primary practice located at 104 Clinton Center Dr , Clinton MS 39056-5627. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Tracy, Richard Ryan can be contacted via phone (601) 924-0770.

Contact Information

Primary practice address
104 Clinton Center Dr Clinton MS 39056-5627
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 3072-98 Mississippi

Profile Details

NPI number 1427156124
LBN Legal business name Tracy, Richard Ryan
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Jul 8th, 2007 - about 19 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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