# RYAN J. RUPERT D.M.D. L.L.C.

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

## Provider details

- **NPI number:** 1871930636
- **Authorized official:** DR. RYAN JOHN RUPERT D.M.D. (OWNER)
- **Authorized official phone:** (412) 736-0794

## Contact information

- **Practice address:** 66 FOREST GROVE RD, CORAOPOLIS, PA 15108-3451
- **Practice address phone:** (412) 859-3833
- **Mailing address:** 66 FOREST GROVE RD, CORAOPOLIS, PA 15108-3451
- **Mailing address phone:** (412) 859-3833

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | DS037526 | PA | Yes |

## Other

- **Enumeration date:** 06/03/2013
- **Last updated:** 06/03/2013