Organization
LAWRENCE P. RYAN, DDS, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE P RYAN DDS, MD (OWNER)
(860) 295-8780
Entity
Organization
Contact information
Practice address
11 S MAIN ST, SUITE 1, MARLBOROUGH, CT 06447-1553
(860) 295-8780
(860) 295-0875
Mailing address
11 S MAIN ST, SUITE 1, MARLBOROUGH, CT 06447-1553
(860) 295-8780
(860) 295-0875
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
007529
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007529
CONNECTICARE INSURANCE
CT
01
—
020007529CT07
ANTHEM BLUE CROSS
CT
01
—
0418117
CIGNA
PA
01
—
204861
CIGNA DENTAL HEALTH
TN
01
—
207529
DELTA DENTAL
NJ
01
—
4332423
AETNA
TX
Enumeration date
02/11/2009
Last updated
02/11/2009
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