Weaver, Ryan

Weaver, Ryan is an sole proprietor health care provider with primary practice located at 527 Gott Road , Vance Afb OK 73705-5105. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Weaver, Ryan can be contacted via phone (208) 964-5306.

Contact Information

Primary practice address
527 Gott Road Vance Afb OK 73705-5105
Phone: (208) 964-5306
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 2017017100 Missouri

Profile Details

NPI number 1760918833
LBN Legal business name Weaver, Ryan
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 10th, 2017
Last updated Jun 17th, 2022 - about 4 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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