Individual
DR. RYAN MATTHEW STUNTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
102 4TH AVE NE, FARLEY, IA 52046-0038
(563) 744-3076
(563) 744-3150
Mailing address
PO BOX 38, FARLEY, IA 52046-0038
(563) 744-3076
(563) 744-3150
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
08322
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0468991
—
IA
01
—
1775730
UNITED CONCORDIA
IA
01
—
39907
BLUE CROSS AND BLUE SHIEL
IA
01
—
IA0101
JOHN DEERE
IA
01
—
P90JT0YY
DELTA
IA
Enumeration date
11/01/2006
Last updated
07/09/2007
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