Provider Demographics
NPI:1104051473
Name:DOBBS, RYAN NATHANIEL (DDS, MD)
Entity type:Individual
Prefix:DR
First Name:RYAN
Middle Name:NATHANIEL
Last Name:DOBBS
Suffix:
Gender:M
Credentials:DDS, MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7380 SOUTH GARTRELL ROAD
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80016
Mailing Address - Country:US
Mailing Address - Phone:720-826-8900
Mailing Address - Fax:720-826-8899
Practice Address - Street 1:7380 SOUTH GARTRELL ROAD
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80016
Practice Address - Country:US
Practice Address - Phone:720-826-8900
Practice Address - Fax:720-826-8899
Is Sole Proprietor?:No
Enumeration Date:2009-05-15
Last Update Date:2021-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE6630122300000X
CO2024531223S0112X
PADS039194204E00000X
CAA118747204E00000X
CO55063204E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204E00000XAllopathic & Osteopathic PhysiciansOral & Maxillofacial Surgery
No122300000XDental ProvidersDentist
No1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery