Dr. Ryan Coello
Dentist Prosthodontist
2441 21st St
Fort Campbell
, Kentucky 42223-5582
Dr. Ryan Coello
Dentist Prosthodontist
2441 21st St
Fort Campbell
, Kentucky 42223-5582
(270) 412-2787
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About
Features
Specialties
- Dentist
- Prosthodontist
Languages spoken
- English
Location
First Address
- Dr. Ryan Coello
- 2441 21st St
- Fort Campbell, KY
- Zip : 42223-5582
- Phone : (270) 412-2787
Second Address
- Dr. Ryan Coello
- 2441 21st St
- Fort Campbell, KY
- Zip : 42223-5582
- Phone : (270) 412-2787
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 122300000X | Dentist | DN 20705 | FL |
| Y | 1223P0700X | Prosthodontist | DN20705 | FL |
National Provider Identifier
| NPI | 1033527239 |
|---|---|
| Provider Name | Dr. Ryan Coello |
| First Address | Fort Campbell, KY 42223-5582 |
| Second Address | Fort Campbell, KY 42223-5582 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/07/2014 |
| Last Update Date | 13/10/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.