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General NPI Number Information
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NPI Number | 1952296709
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Entity Type | Organization
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Legal Business Name | RYAN ODONNELL DDS PLLC
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Dates
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Enumeration Date | 06/11/2025
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Last Update Date | 06/11/2025
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Provider Practice Location Address
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Address Line | 720 OLIVE WAY STE 810
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City | SEATTLE
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State | WA
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Zip | 98101-1836
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Country | US
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Telephone | 206-628-0404
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Fax |
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Provider Business Mailing Address
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Address Line | 12106 SE 26TH ST
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City | BELLEVUE
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State | WA
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Zip | 98005-4119
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Country | US
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Telephone | 425-890-8183
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RYAN O'DONNELL
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Credential | DDS
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Telephone | 425-890-8183
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number |
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License Number State |
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