Individual
RYAN FERNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1771 NW BURDETT XING, BLUE SPRINGS, MO 64015-1610
(816) 228-0001
Mailing address
1771 NW BURDETT XING, BLUE SPRINGS, MO 64015-1610
(816) 228-0001
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2018012462
MO
Other
Enumeration date
09/20/2016
Last updated
11/10/2021
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