DR. HEATHER LYNN RYAN (NPI# 1215418108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215418108 |
| Entity Type | Individual |
| Full Name | DR. HEATHER LYNN RYAN |
| Credential | DMD |
| Practice Address |
4800 Ne 20th Ter Ste 302 Ft Lauderdale FL 33308-4510 |
| Mailing Address |
1033 Roberts Branch Pkwy Ste 103 Columbia SC 29203-9148 |
| Practice Telephone | 9545656335 |
| Enumeration Date | 2018-08-28 |
| Last Update Date | 2019-07-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 23304 | FL | Dental Providers |
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
9369 | SC | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4800 Ne 20th Ter, Suite 302, Ft. Lauderdale, FL 33308 | 9545656335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194178533 | Heather Ryan | Counselor | 147 Stone Church Rd, Wheeling, WV 26003-7406 | 2016-07-21 |
| 1477911360 | Heather Ryan | Psychologist | 101 Colony Park Dr Ste 300, Cumming, GA 30040-2751 | 2016-02-05 |
| 1336478635 | Heather Marie Ryan | Massage Therapist | 106 W North Bend Way, North Bend, WA 98045-8150 | 2009-12-15 |
| 1811144371 | Heather Lee Ryan | Nurse Practitioner | 6455 S Yosemite Street, 6th Floor, Optum, Englewood, CO 80111 | 2008-08-26 |
| 1316099856 | Heather L. Ryan | Specialist/Technologist | 1 Indian Ave, Venice, FL 34285-2632 | 2007-01-17 |
| 1184284812 | Heather Anne Ryan | Nurse Practitioner | 10799 N 90th St Ste 100, Scottsdale, AZ 85260-6110 | 2019-06-14 |
| 1114441052 | Heather Ryan | Pharmacist | 4961 Long Beach Rd Se Ste 1, Southport, NC 28461-8001 | 2017-08-02 |
| 1437403276 | Heather Alysia Ryan | Physical Therapist | 133 Donohoe Rd, Greensburg, PA 15601-7921 | 2012-11-01 |
| 1417265562 | Heather Ryan | Physician Assistant | 360 San Miguel Dr, Suite 701, Newport Beach, CA 92660-7853 | 2010-09-22 |
| 1083817555 | Heather R. Ryan | Counselor | 142 Javit Ct, Youngstown, OH 44515-2409 | 2007-06-11 |
| Street Address |
4800 NE 20TH TER STE 302 |
| City | FT LAUDERDALE |
| State | FL |
| Zip Code | 33308-4510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215558788 | Marina Silva Ferreira | Student in an Organized Health Care Education/Training Program | Univ of Miami Miller School of Med Holy Cross Hospital, 4725 N Federal Highway, Fort Lauderdale, FL 33308 | 2020-05-06 |
| 1013538040 | Mehak Bansal | Student in an Organized Health Care Education/Training Program | 4725 N Federal Highway University of Miami, Miller School of Medicine Holy Cross Hospital Internal, Fort Lauderdale, FL 33308 | 2020-04-30 |
| 1285269266 | Roman Castell | Massage Therapist | 2480 E Commercial Blvd Ste 3, Fort Lauderdale, FL 33308 | 2020-03-10 |
| 1124667969 | Icarevip, Inc | Internal Medicine | 4800 N. Federal Highway, Suite 200, Fort Lauderdale, FL 33308 | 2019-12-26 |
| 1629612932 | Lana A Simmonds | Nurse Practitioner | 4390 N. Federal Hwy, Unit 101, Fort Lauderdale, FL 33308 | 2019-10-30 |
| 1063997260 | Kneaded Therapy, Inc | Physical Medicine & Rehabilitation | 2746 E Commerical Blvd., Ft. Lauderdale, FL 33308 | 2018-10-03 |
| 1518452184 | Colleen Lynn Culbertson | Nurse Anesthetist, Certified Registered | 1930 Ne 47th St Ste 308, Ft Lauderdale, FL 33308 | 2018-06-26 |
| 1962910562 | Healing Therapy Center Pllc | Social Worker | Healing Therapy, 1919 Ne 45th Street, Suite 225, Ft. Lauderale, FL 33308 | 2018-01-17 |
| 1376066647 | Carlos Jose Garcia | Student in an Organized Health Care Education/Training Program | 4725 North Federal Highway Suite 501, Fort Lauderdale, FL 33308 | 2017-07-19 |
| 1407381940 | Heather Hickson Lac LLC | Clinic/Center | 5353 North Federal Highway, Ste 220, Fort Lauderdale, FL 33308 | 2017-04-21 |
| Find all providers in zip 33308 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528289261 | Borasamy Nicole Ung | Dentist | 2480 E Commercial Blvd, 2nd Floor, Ft Lauderdale, FL 33308 | 2007-05-01 |
| 1548483274 | Gregory Galland Dmd Pa | Dentist | 848 Ne 20 Ave, Ft Lauderdale, FL 33304 | 2007-04-11 |
| 1790947299 | Taner Cem Sayin | Dentist | 3200 S University Drive, Ft Lauderdale, FL 33328 | 2008-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922608736 | Mid-florida Endodontics - Winter Garden Pa | Dentist | 15815 Shaddock Drive, Unit-3, Winter Garden, FL 34787 | 2020-10-30 |
| 1154935799 | Orbit Dental Management Pa | Dentist | 1453 Nw Saint Lucie West Blvd, Port St Lucie, FL 34986-1968 | 2020-09-01 |
| 1790397370 | Bruce D. Schulman, Dds Pa | Dentist | 10150 Hagen Ranch Rd Ste 200, Boynton Beach, FL 33437-3776 | 2020-08-17 |
| 1770117525 | Volusia Endodontics Pa | Dentist | 2751 Enterprise Rd Ste 211, Orange City, FL 32763-8262 | 2020-03-02 |
| 1417587130 | Advanced Endodontics of Winter Park, Pa | Dentist | 400 W Morse Blvd Ste 102, Winter Park, FL 32789-4259 | 2020-01-22 |
| 1699326603 | North Central Florida Endodontics,pllc | Dentist | 48 Se 16th Ave, Ocala, FL 34471-2521 | 2019-09-23 |
| 1396395919 | Stephen L. Goldfaden, Dds,pa | Dentist | 1905 Nw 13th St Ste 2, Gainesville, FL 32609-3414 | 2019-09-16 |
| 1649820630 | Ponte Vedra Endodontics | Dentist | 822 A1a North, Ste 314, Ponte Vedra Beach, FL 32082 | 2019-09-12 |
| 1437707197 | John Zachary Reynolds | Dentist | 3180 Redeemer Way, New Port Richey, FL 34655-4245 | 2019-08-27 |
| 1497307987 | Bradley Sleeth | Dentist | 942 Goldridge Ct, Orange Park, FL 32065-6259 | 2019-07-15 |
| Find all providers with the same taxonomy | ||||
| City | FT LAUDERDALE |
| Zip Code | 33308 |
Please comment or provide details below to improve the information on DR. HEATHER LYNN RYAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.