Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 122300000X | Dentist | 6630 | NE |
N | 1223S0112X | Oral and Maxillofacial Surgeon | 202453 | CO |
Y | 204E00000X | Oral & Maxillofacial Surgeon | 55063 | CO |
N | 204E00000X | Oral & Maxillofacial Surgeon | A118747 | CA |
N | 204E00000X | Oral & Maxillofacial Surgeon | DS039194 | PA |
NPI | 1104051473 |
---|---|
Provider Name | Dr. Ryan Nathaniel Dobbs |
First Address | Aurora, CO 80016 |
Second Address | Aurora, CO 80016 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/05/2009 |
Last Update Date | 11/05/2021 |