# 21ST AVE DENTAL LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1114203387
- **Authorized official:** DR. PATRICK E RYAN DMD (OWNER)
- **Authorized official phone:** (973) 742-1991

## Contact information

- **Practice address:** 318 21ST AVE, PATERSON, NJ 07501-3538
- **Practice address phone:** (973) 742-1991
- **Mailing address:** 318 21ST AVE, PATERSON, NJ 07501-3538
- **Mailing address phone:** (973) 742-1991

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 14409 | NJ | Yes |

## Other

- **Enumeration date:** 11/01/2011
- **Last updated:** 11/01/2011