Healthcare Provider Details

I. General information

NPI: 1982233581
Provider Name (Legal Business Name): RYAN SEDLAR
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/06/2020
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1170 STATE ROUTE 28
MILFORD OH
45150-2155
US

IV. Provider business mailing address

1170 STATE ROUTE 28
MILFORD OH
45150-2155
US

V. Phone/Fax

Practice location:
  • Phone: 513-575-9600
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number30.026125
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: