# RYAN R BOYLAN DDS PC

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

## Provider details

- **NPI number:** 1417348004
- **Authorized official:** DR. RYAN R BOYLAN DDS (OWNER)
- **Authorized official phone:** (757) 547-5105

## Contact information

- **Practice address:** 528 ALBEMARLE DR, \#200, CHESAPEAKE, VA 23322-5584
- **Practice address phone:** (757) 547-5105
- **Mailing address:** 528 ALBEMARLE DR, \#200, CHESAPEAKE, VA 23322-5584
- **Mailing address phone:** (757) 547-5105

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 02/18/2015
- **Last updated:** 02/18/2015