RYAN DENTAL, LLC (NPI# 1427587195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427587195 |
| Entity Type | Organization |
| Organization Name | RYAN DENTAL, LLC |
| Other Organization Name | BROADWAY DENTAL CARE |
| Practice Address |
216 Broadway Ave N Rochester MN 55906-3646 |
| Mailing Address |
2210 Broadway Ave N Rochester MN 55906-4009 |
| Practice Telephone | 5072895838 |
| Mailing Telephone | 5072887379 |
| Enumeration Date | 2017-06-07 |
| Last Update Date | 2017-06-07 |
| Authorized Official Name | ANGELA L LOFT (ADMIN) |
| Authorized Official Telephone | 6513033203 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 11394 | MN | Dental Providers |
| Other Name | Type Code |
|---|---|
| Broadway Dental Care | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | RYAN DENTAL, LLC | 35 W Broad St, Unit 114, Stamford, CT 06902 |
| Street Address |
216 BROADWAY AVE N |
| City | ROCHESTER |
| State | MN |
| Zip Code | 55906-3646 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912472440 | Carole Ellen Jenson | Nurse Practitioner | Rochester Clinic, 3070 Wellner Drive Ne, Rochester, MN 55906 | 2018-10-11 |
| 1760853980 | Sebandy Home Care Services, LLC | Health Maintenance Organization | 2548 Lisa Ln Ne, Rochester, MN 55906 | 2015-10-14 |
| 1538550611 | Rachel Eldersveld | Nurse Practitioner | 716 12th Ave Ne, Rochester, MN 55906 | 2015-02-11 |
| 1639590045 | Riverstone Psychological Services | Community/Behavioral Health | 511 Northern Hills Dr Ne, Suite 2, Rochester, MN 55906 | 2014-01-02 |
| 1396177457 | Marjorie Evelyn Murray | Custodial Care Facility | 4501-22nd Ave N.e., Rochester, MN 55906 | 2013-07-31 |
| 1447532411 | Peter M Holm | Dentist | 120 North Broadway Ne, Suite B, Good Samaritan Dental Clinic, Rochester, MN 55906 | 2011-09-15 |
| 1154615193 | Amy Johnson Tremain | Psychologist | 3228 6th Ave Ne Unit B, Rochester, MN 55906 | 2011-06-07 |
| 1235451816 | Connie Krueger | Dental Hygienist | 120 North Broadway, Ne, Suite B, Rochester, MN 55906 | 2010-02-23 |
| 1700115508 | Smn Home Care, LLC | Home Health | 1700 N. Broadway, Suite 114, Rochester, MN 55906 | 2009-12-08 |
| 1528395068 | Ryley D Layden | Chiropractor | 3169 Wellner Dr. Ne, Suite C, Rochester, MN 55906 | 2009-11-04 |
| Find all providers in zip 55906 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164036422 | Lolita Hicks | Dentist | 1290 Salem Rd Sw Ste 10, Rochester, MN 55902-4210 | 2020-09-03 |
| 1356965248 | Tarin Allison Nassaney | Dentist | 40 Winter St Ste 201, Rochester, NH 03867-3139 | 2020-06-05 |
| 1629616206 | Stacey Starkes | Dentist | 1238 E Ridge Rd Ste 200, Rochester, NY 14621-2012 | 2019-12-14 |
| 1811459878 | Lakshmi Devi Ranjan Mandava | Dentist | 1000 Hylan Dr Ste B, Rochester, NY 14623-4218 | 2019-04-01 |
| 1417419409 | Scott J Koopman | Dentist | 3220 Chili Ave Ste 3, Rochester, NY 14624-5482 | 2019-04-01 |
| 1790246882 | Adriana Palacio | Dentist | 2052 S Clinton Ave, Rochester, NY 14618-5703 | 2019-03-29 |
| 1093213498 | David Lawrence | Dentist | 1000 E Henrietta Rd, Rochester, NY 14623-5701 | 2018-01-31 |
| 1518472604 | Scott Kanas | Dentist | 1002 E Gunn Rd, Rochester, MI 48306-1910 | 2017-12-11 |
| 1578008884 | Shilpa Singh | Dentist | 59 Lac Kine Dr, Rochester, NY 14618-5607 | 2016-12-21 |
| 1255789038 | Caitlin Barts-nunez | Dentist | 1360 E. 4th Street, Rochester, IN 46975 | 2016-06-02 |
| Find all providers in ROCHESTER | ||||
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| 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.