Ryan Dahl, DDS is a medicare enrolled "Dentist" provider in Lisbon, North Dakota. His current practice location is
11 11th Ave W, Lisbon, North Dakota. You can reach out to his office (for appointments etc.) via phone at
(701) 683-4455.
Ryan Dahl is licensed to practice in North Dakota (license number 2266) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1295185007.
Healthcare Provider's Profile
Full Name | Ryan Dahl |
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Gender | Male |
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Speciality | Dentist |
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Location | 11 11th Ave W, Lisbon, North Dakota |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1295185007
- Provider Enumeration Date: 06/13/2016
- Last Update Date: 06/13/2016
Medicare PECOS Information:
- PECOS PAC ID: 4789965146
- Enrollment ID: I20161227001555
Medical Identifiers
Medical identifiers for Ryan Dahl such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1295185007 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 2266 (North Dakota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ryan Dahl is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ryan Dahl, DDS 11 11th Ave W, Lisbon, ND 58054-4306 Ph: (701) 683-4455 | Ryan Dahl, DDS 11 11th Ave W, Lisbon, ND 58054-4306 Ph: (701) 683-4455 |
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