RYAN MICHAEL MULLIGAN


Address: 621 S New Ballas Rd Ste 10a, Saint Louis, MO 63141-8239
Phone: 3143591682

RYAN MICHAEL MULLIGAN (NPI# 1275193229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275193229
Entity Type Individual
Full Name RYAN MICHAEL MULLIGAN
Practice Address 621 S New Ballas Rd Ste 10a
Saint Louis
MO 63141-8239
Mailing Address 7040 Waterman Ave
University City
MO 63130-4323
Practice Telephone 3143591682
Mailing Telephone 3143591682
Enumeration Date 2019-06-20
Last Update Date 2019-06-20
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist 2019021896 MO Dental Providers

Other Providers RYAN MULLIGAN

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1356864953 Ryan Mulligan Physical Therapist 439 Lewiston Rd, Topsham, ME 04086-6186 2017-07-25
1548612955 Ryan Mulligan Audiologist 109 Bee St, Charleston, SC 29401-5703 2016-07-09
1851792162 Ryan Elizabeth Mulligan Occupational Therapist 1200 1st St Ne, 9th Floor, Washington, DC 20002-3361 2014-09-07
1538450291 Ryan Patrick Mulligan Orthopaedic Surgery 2535 Ira E Woods Ave, Grapevine, TX 76051-3930 2011-04-28

Office Location

Street Address 621 S NEW BALLAS RD STE 10A
City SAINT LOUIS
State MO
Zip Code 63141-8239

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679102842 Noor Ramadan Pharmacist 628 North New Ballad Road, Suite A, Creve Coeur, MO 63141 2020-04-08
1497381206 Washington University Durable Medical Equipment & Medical Supplies 1044 North Mason Road, Suite 110/210, St. Louis, MO 63141 2020-03-13
1154956498 Ashleigh Clendenny Physician Assistant Mercy Hospital St. Louis, 615 S New Ballas Rd, St. Louis, MO 63141 2020-03-06
1801429410 Emili Lou Haley Registered Nurse 650 Maryville Drive, St Louis, MO 63141 2020-02-21
1629553110 Rebecca Kathleen Pike Social Worker West County Psychological Associates, 12125 Woodcrest Executive Drive #110, St. Louis, MO 63141 2018-10-01
1649756099 River City Sedation Associates, LLC Nurse Anesthetist, Certified Registered 12855 N 40 Dr Ste 150, Saint Louis, MO 63141 2018-07-18
1205333952 Ear Care and Hearing of St. Louis Hearing Aid Equipment 11630 Studt Ave Ste 210, Creve Coeur, MO 63141 2018-04-10
1659897486 Erin Goodman Physical Therapist 10560 Old Olive St. Rd, Suite 100, Creve Coeur, MO 63141 2017-08-14
1093230450 Center for Urologic Surgery LLC Clinic/Center 12855 N 40 Dr Ste 100, Saint Louis, MO 63141 2017-08-07
1871016105 Jacob Farley Tanner Specialist/Technologist 1054 Town and Four Parkway Dr, Creve Coeur, MO 63141 2017-07-19
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Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093326670 Amani Abdulateef Dentist 4016 Lemay Ferry Rd, Saint Louis, MO 63129-1858 2020-08-16
1043828627 Tara Elizabeth Habibi Dentist 3422 Utah St Fl 2, Saint Louis, MO 63118-2727 2020-07-20
1548817448 Lauren Elizabeth Kessinger Dentist 2821 N Ballas Rd Ste 160, Saint Louis, MO 63131-2376 2019-08-25
1962993246 Todd J Wind Enterprises LLC Dentist 12818 Tesson Ferry Rd Ste 2o2, Saint Louis, MO 63128-2945 2018-05-23
1396274098 Darren Cartwright, Dds, P.C. Dentist 9960 Kennerly Rd Ste B, Saint Louis, MO 63128-3075 2017-06-06
1962936765 Alex Sharifian Dds Rock Hill Dentistry PC Dentist 9601 Manchester Rd, Saint Louis, MO 63119-1333 2017-04-18
1467983973 Westport Dental LLC Dentist 77 W Port Plz, Suite No. 251, Saint Louis, MO 63146-3107 2017-03-26
1427506781 Karim Allahdina Dentist 3331 Locust St, 301, Saint Louis, MO 63103-1154 2016-09-15
1508217480 Kevin Charles Kaiser Dentist 3890 S Lindbergh Blvd Ste 115, Saint Louis, MO 63127-1391 2016-06-22
1093160814 Kathryn Nicole Brennan Dentist 10733 Charrette Dr, Saint Louis, MO 63123-3914 2016-04-29
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Competitor

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City SAINT LOUIS
Zip Code 63141

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Dataset Information

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.

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