National Provider Identifier
Ryan Anthony Dennis Booth, DMD
Ryan Anthony Dennis Booth, DMD is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Rochester, NY and a listed phone number of (585) 275-5051.
Profile Overview
- NPI
- 1710723168
- Provider Type
- Individual
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- July 05, 2024
- Last Updated
- July 05, 2024
Practice Location
- 625 Elmwood Ave # 683
- Rochester, NY 14620-2913
Phone: (585) 275-5051
Mailing Address
- 10 County Fair Dr Apt 307
- Rochester, NY 14623-4372
Specialties
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1710723168
- Entity Type
- Individual
- Last Name
- Booth
- First Name
- Ryan
- Middle Name
- Anthony Dennis
- Name Prefix
- Dr.
- Credential
- DMD
- Mailing Street Address
- 10 County Fair Dr Apt 307
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14623-4372
- Mailing Country
- US
- Mailing Phone
- (438) 390-6602
- Practice Street Address
- 625 Elmwood Ave # 683
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14620-2913
- Practice Country
- US
- Practice Phone
- (585) 275-5051
- Enumeration Date
- July 05, 2024
- Last Updated
- July 05, 2024
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- July 05, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Student in an Organized Health Care Education/Training Program (390200000X)