Organization
RYAN TYNG, DMD PROFESSIONAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCIA GUEVARA (OFFICE MANAGER)
(719) 596-3481
Entity
Organization
Contact information
Practice address
5955 DUBLIN BLVD, COLORADO SPRINGS, CO 80923-7474
(719) 596-3481
(719) 596-9114
Mailing address
5955 DUBLIN BLVD, COLORADO SPRINGS, CO 80923-7474
(719) 596-3481
(719) 596-9114
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10399
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1780848176
INDIVIDUAL NPI
CO
05
—
86979566
—
CO
Enumeration date
08/25/2016
Last updated
02/27/2025
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