Individual
MARK T RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
622 SAVIN AVENUE, WEST HAVEN, CT 06516-4936
(203) 933-7095
(203) 937-5766
Mailing address
622 SAVIN AVENUE, WEST HAVEN, CT 06516-4936
(203) 933-7095
(203) 937-5766
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
008359
CT
124Q00000X
Dental Hygienist
Primary
005913
CT
124Q00000X
Dental Hygienist
05006
CT
Other
Enumeration date
02/13/2007
Last updated
09/11/2025
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