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NPI Code Detail

MEDICARE: RYAN WEBER DDS, MD

MEDICARE: RYAN WEBER DDS, MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223S0112XOral and Maxillofacial Surgery (Dentist)31783TX

General Provider Information

NPI Number : 1720473515
Entity Type Code : Individual
Provider Name (Legal Business Name) : RYAN WEBER DDS, MD
Provider Business Mailing Address
First Line : 7200 WYOMING SPRINGS DR STE 1000
Second Line :
City : ROUND ROCK
State : TX
Zip : 78681-4307
Country : US
Telephone Number : 512-255-5800
Fax Number :
Provider Business Practice Location Address
First Line : 7200 WYOMING SPRINGS DR STE 1000
Second Line :
City : ROUND ROCK
State : TX
Zip : 78681-4307
Country : US
Telephone Number : 512-255-5800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2015
Last Update Date : 09/07/2022

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