# DR MICHAEL RYAN PC

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

## Provider details

- **NPI number:** 1437104080
- **Authorized official:** DR. MICHAEL D RYAN DDS (OWNER)
- **Authorized official phone:** (610) 872-1355

## Contact information

- **Practice address:** 30 MEDICAL CENTER BLVD, SUITE 100, UPLAND, PA 19013-3955
- **Practice address phone:** (610) 872-1355
- **Practice address fax:** (610) 874-2587
- **Mailing address:** 30 MEDICAL CENTER BLVD, SUITE 100, UPLAND, PA 19013-3955
- **Mailing address phone:** (610) 872-1355
- **Mailing address fax:** (610) 874-2587

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | DS016527L | PA | Yes |

## Other

- **Enumeration date:** 05/23/2006
- **Last updated:** 08/22/2020