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NPI Code Detail

MEDICARE: RYAN OETKEN FAMILY DENTISTRY, P.C.

MEDICARE: RYAN OETKEN FAMILY DENTISTRY, P.C.
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
11223G0001XGeneral Practice Dentistry

General Provider Information

NPI Number : 1750249470
Entity Type Code : Organization
Provider Name (Legal Business Name) : RYAN OETKEN FAMILY DENTISTRY, P.C.
Provider Business Mailing Address
First Line : 1082 CEDAR CROSS RD STE 1003
Second Line :
City : DUBUQUE
State : IA
Zip : 52003-7890
Country : US
Telephone Number : 563-557-1111
Fax Number : 563-557-1227
Provider Business Practice Location Address
First Line : 1082 CEDAR CROSS RD STE 1003
Second Line :
City : DUBUQUE
State : IA
Zip : 52003-7890
Country : US
Telephone Number : 563-557-1111
Fax Number : 563-557-1227
Authorized Official
Title or Position : OWNER/DENTIST
Name : RYAN OETKEN
Credential : DDS
Telephone Number : 563-557-1111
Provider Enumeration Date : 01/12/2026
Last Update Date : 01/12/2026

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Directions to “RYAN OETKEN FAMILY DENTISTRY, P.C. ” Practice Location

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