SearchMissouri1223G0001X

Ryan Harris, DMD

NPI 1740617992 · on the registry since 2013 · sole proprietor

Practice

Address
121 N Main Ave
Bolivar, MO 65613
Phone
(417) 422-4540
Organisation at this address
Blue Cedar Dentistry Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Also registered as
122300000X
Licence states on file
ID, MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-04-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri