National Provider Identifier
Ryan Joel Sullivan, D.M.D.
Ryan Joel Sullivan, D.M.D. is listed in the NPPES registry with a primary specialty of Dentist in Blasdell, NY and a listed phone number of (716) 649-2288.
Profile Overview
- NPI
- 1669733424
- Provider Type
- Individual
- Primary Specialty
- Dentist
- Enumeration Date
- June 07, 2012
- Last Updated
- May 11, 2016
Practice Location
- 4154 McKinley Pkwy
- Blasdell, NY 14219-2995
Phone: (716) 649-2288
Mailing Address
- 3176 Abbott RD
- Orchard Park, NY 14127-1069
Specialties
- Dentist (122300000X)
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1669733424
- Entity Type
- Individual
- Last Name
- Sullivan
- First Name
- Ryan
- Middle Name
- Joel
- Name Prefix
- Dr.
- Credential
- D.M.D.
- Mailing Street Address
- 3176 Abbott RD
- Mailing City
- Orchard Park
- Mailing State
- NY
- Mailing ZIP Code
- 14127-1069
- Mailing Country
- US
- Mailing Phone
- (716) 827-1200
- Practice Street Address
- 4154 McKinley Pkwy
- Practice City
- Blasdell
- Practice State
- NY
- Practice ZIP Code
- 14219-2995
- Practice Country
- US
- Practice Phone
- (716) 649-2288
- Enumeration Date
- June 07, 2012
- Last Updated
- May 11, 2016
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Dentist (122300000X), Student in an Organized Health Care Education/Training Program (390200000X)