Healthcare Provider Details

I. General information

NPI: 1245490531
Provider Name (Legal Business Name): ROBERT CORY RYAN MD DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/11/2008
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7991 VANCE DR STE A
ARVADA CO
80003-2148
US

IV. Provider business mailing address

7991 VANCE DR STE A
ARVADA CO
80003-2148
US

V. Phone/Fax

Practice location:
  • Phone: 303-422-2990
  • Fax: 303-425-4386
Mailing address:
  • Phone: 303-422-2990
  • Fax: 303-425-4386

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code204E00000X
TaxonomyOral & Maxillofacial Surgery (D.M.D.)
License NumberDR.0051432
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number00201797
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: