Healthcare Provider Details

I. General information

NPI: 1922098557
Provider Name (Legal Business Name): RYAN SILVANO GARCIA DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/25/2005
Last Update Date: 07/16/2025
Certification Date: 07/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1405 S VALLEY DR # 300
LAS CRUCES NM
88005-3132
US

IV. Provider business mailing address

1405 S VALLEY DR # 300
LAS CRUCES NM
88005-3132
US

V. Phone/Fax

Practice location:
  • Phone: 575-532-5437
  • Fax:
Mailing address:
  • Phone: 755-325-4375
  • Fax: 915-855-3404

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number21057
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDD2331
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: