Organization
RYAN M BAILEY DDS MD ORAL AND MAXILLOFACIAL SURGERY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN MICHAEL BAILEY DDS MD (SURGEON ORAL AND MAXILLOFACIAL)
(540) 710-8880
Entity
Organization
Contact information
Practice address
10703 SPOTSYLVANIA AVE, SUITE 101, FREDERICKSBURG, VA 22408
(540) 710-8880
(540) 710-8884
Mailing address
10703 SPOTSYLVANIA AVE, SUITE 101, FREDERICKSBURG, VA 22408
(540) 710-8880
(540) 710-8884
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
0401411755
VA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
0101242293
VA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
0438000230
VA
Other
Enumeration date
08/31/2007
Last updated
10/01/2008
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