Healthcare Provider Details

I. General information

NPI: 1922060201
Provider Name (Legal Business Name): RYAN CHRISTOPHER STARKEY DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/04/2006
Last Update Date: 12/23/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

520 MAIN ST
WINTERSVILLE OH
43953
US

IV. Provider business mailing address

173 TERESA DR
STEUBENVILLE OH
43953
US

V. Phone/Fax

Practice location:
  • Phone: 740-264-1913
  • Fax:
Mailing address:
  • Phone: 740-264-5639
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number021333
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: