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General NPI Number Information
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NPI Number | 1619632429
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Entity Type | Organization
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Legal Business Name | RYAN J REID DMD PLLC
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Dates
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Enumeration Date | 11/05/2021
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Last Update Date | 11/05/2021
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Provider Practice Location Address
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Address Line | 2727 HOLLYCROFT ST STE 280
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City | GIG HARBOR
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State | WA
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Zip | 98335-1305
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Country | US
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Telephone | 253-857-4114
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Fax |
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Provider Business Mailing Address
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Address Line | 1356 SINCLAIR DR
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City | DUPONT
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State | WA
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Zip | 98327-8815
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Country | US
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Telephone | 253-223-2580
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. RYAN REID
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Credential | DMD
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Telephone | 253-223-2580
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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