Organization
GEORGETOWN DENTAL ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK RYAN DDS (DENTIST)
(573) 445-9526
Entity
Organization
Contact information
Practice address
1601 CHAPEL HILL RD, SUITE A, COLUMBIA, MO 65203-5462
(573) 445-9526
(573) 445-7950
Mailing address
1601 CHAPEL HILL RD, SUITE A, COLUMBIA, MO 65203-5462
(573) 445-9526
(573) 445-7950
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
2002016155
MO
1223G0001X
General Practice Dentistry
Primary
2006014447
MO
Other
Enumeration date
07/15/2015
Last updated
07/15/2015
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