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General NPI Number Information
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NPI Number | 1760131080
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Entity Type | Individual
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Provider Name | RYAN LANGEL DDS
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Gender | Male
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Dates
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Enumeration Date | 03/23/2022
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Last Update Date | 10/08/2025
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Provider Practice Location Address
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Address Line | 14111 DOUGLAS PKWY STE 103
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City | URBANDALE
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State | IA
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Zip | 50323-2197
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Country | US
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Telephone | 515-224-5999
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Fax |
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Provider Business Mailing Address
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Address Line | 15001 MAPLE DR
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City | URBANDALE
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State | IA
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Zip | 50323-2425
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Country | US
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Telephone | 712-540-3416
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | DDS-09980
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License Number State | IA
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