Healthcare Provider Details

I. General information

NPI: 1073945077
Provider Name (Legal Business Name): RYAN KELSEY MAY DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/01/2013
Last Update Date: 12/04/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 EL DORADO ST
MONTEREY CA
93940-4645
US

IV. Provider business mailing address

333 EL DORADO ST
MONTEREY CA
93940-4645
US

V. Phone/Fax

Practice location:
  • Phone: 831-373-3068
  • Fax:
Mailing address:
  • Phone: 831-373-3068
  • Fax: 831-655-6434

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0700X
TaxonomyProsthodontics
License NumberDDS103201
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: