Individual
MATTHEW RYAN BYARLAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
40TH AND HOLDREGE, LINCOLN, NE 68583
(402) 472-8900
Mailing address
15067 MEREDITH AVE, OMAHA, NE 68116-1459
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
6350
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7875
BC/BS
NE
Enumeration date
10/17/2006
Last updated
01/25/2008
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