| NPI | 1104896604 |
|---|---|
| Doing Business As | DENTALWORKS |
| Entity Type | Organization |
| Authorized Contact | RONALD J RYAN Dentist/Owner 502-459-4120 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KY 6272) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics |
| 1223P0221X Dentist, Pediatric Dentistry | |
| 1223P0300X Dentist, Periodontics | |
| 1223P0700X Dentist, Prosthodontics | |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics | |
| 122300000X Dentist | |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2016-12-09 |