Provider Demographics
NPI:1386809952
Name:RYU, STEVEN INGYU (DMD)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:INGYU
Last Name:RYU
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:INGYU
Other - Middle Name:
Other - Last Name:RYU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:660 NEWTOWN YARDLEY RD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:NEWTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18940-1759
Mailing Address - Country:US
Mailing Address - Phone:215-497-4977
Mailing Address - Fax:215-497-4977
Practice Address - Street 1:660 NEWTOWN YARDLEY RD
Practice Address - Street 2:SUITE 103
Practice Address - City:NEWTOWN
Practice Address - State:PA
Practice Address - Zip Code:18940-1759
Practice Address - Country:US
Practice Address - Phone:215-497-4977
Practice Address - Fax:215-497-4977
Is Sole Proprietor?:No
Enumeration Date:2008-07-23
Last Update Date:2008-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS029499L1223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics