Individual
DR. RYAN RICHARD SHERIDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
1100 WILFORD HALL LOOP, JBSA LACKLAND, TX 78236-5638
(210) 292-7749
Mailing address
1100 WILFORD HALL LOOP, JBSA LACKLAND, TX 78236-5638
(210) 292-7749
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
22DI02415100
NJ
1223P0700X
Prosthodontics
Primary
22DI02415100
NJ
Other
Enumeration date
07/02/2010
Last updated
08/13/2025
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