# MICHAEL D RYAN DDS PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003355397
- **Authorized official:** MR. MICHAEL D RYAN DDS (PRESIDENT)
- **Authorized official phone:** (248) 583-0505

## Contact information

- **Practice address:** 26711 WOODWARD AVE, STE 101, HUNTINGTON WOODS, MI 48070-1333
- **Practice address phone:** (248) 583-0505
- **Practice address fax:** (248) 583-0109
- **Mailing address:** 26711 WOODWARD AVE, STE 101, HUNTINGTON WOODS, MI 48070-1333
- **Mailing address phone:** (248) 583-0505
- **Mailing address fax:** (248) 583-0109

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 2901014133 | MI | Yes |

## Other

- **Enumeration date:** 02/20/2017
- **Last updated:** 02/20/2017