Provider Demographics
NPI:1699482976
Name:RYAN P. NEBEL, D.M.D. LLC
Entity type:Organization
Organization Name:RYAN P. NEBEL, D.M.D. LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:PATRICK
Authorized Official - Last Name:NEBEL
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:724-654-2330
Mailing Address - Street 1:3105 WILMINGTON RD
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:PA
Mailing Address - Zip Code:16105-1131
Mailing Address - Country:US
Mailing Address - Phone:724-654-2330
Mailing Address - Fax:724-658-3719
Practice Address - Street 1:3105 WILMINGTON RD
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:PA
Practice Address - Zip Code:16105-1131
Practice Address - Country:US
Practice Address - Phone:724-654-2330
Practice Address - Fax:724-658-3719
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-04
Last Update Date:2022-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
No1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty