Individual
DR. RYAN TEAHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7600 W COLLEGE DR STE 17, PALOS HEIGHTS, IL 60463
(319) 361-5224
Mailing address
2740 N PINE GROVE AVE APT 14C, CHICAGO, IL 60614-6616
(319) 361-5224
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019029877
IL
1223E0200X
Endodontics
019029877
IL
1223E0200X
Endodontics
021.002875
IL
390200000X
Student in an Organized Health Care Education/Training Program
30482
IA
Other
Enumeration date
10/17/2014
Last updated
10/26/2020
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