| Dr Mark Daniel Ryan, DDS | |
|
2133 Pepperrell St Bldg 3352, Jbsa Lackland, TX 78236-5313 | |
| (210) 292-6258 | |
| (210) 292-2618 |
| Full Name | Dr Mark Daniel Ryan |
|---|---|
| Gender | Male |
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 2133 Pepperrell St Bldg 3352, Jbsa Lackland, Texas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023354388 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 019.029011 (Illinois) | Primary |
| 122300000X | Dentist | 019029011 (Illinois) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mark Daniel Ryan, DDS Psc 808 Box 19, Fpo, AE 09618-0001 Ph: (081) 811-6000 | Dr Mark Daniel Ryan, DDS 2133 Pepperrell St Bldg 3352, Jbsa Lackland, TX 78236-5313 Ph: (210) 292-6258 |
Dr. Henry Andrew Foerster, DMD Dentist Medicare: Medicare Enrolled Practice Location: 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236 Phone: 210-292-6990 | |
Dr. David Lynn Wells, D.D.S., M.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sghc, Jbsa Lackland, TX 78236 Phone: 210-292-6225 | |
Dr. Corydon Louis Doerr, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2261 Hughes Ave Ste 153, Jbsa Lackland, TX 78236 Phone: 210-395-9661 | |
Dr. Timothy Wayne Hatchett Sr., D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 Phone: 210-292-0123 | |
Evan Shipp, Dentist Medicare: Not Enrolled in Medicare Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 Phone: 512-621-5529 | |
Harrison Gordner, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 2133 Pepperrell St Bldg 3352, 2133 Pepperrell Street, Building 3352, Jbsa Lackland, TX 78236 Phone: 210-292-6258 |