Individual
RYANN SHADICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
660 BANNOCK ST, DENVER, CO 80204-4506
(303) 436-6000
Mailing address
660 BANNOCK ST, DENVER, CO 80204-4506
(303) 436-6000
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
CO
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/07/2025
Last updated
06/10/2026
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