Ryan Tracy, Dmd, Pllc in Clinton - Dentist

Ryan Tracy, Dmd, Pllc - NPI 1851562722

Ryan Tracy, Dmd, Pllc is a Dentist in Clinton, Mississippi. Ryan Tracy, Dmd, Pllc practices all healthcare services and medical treatments related to Dentist. The NPI Number for Ryan Tracy, Dmd, Pllc is 1851562722. The last update date is 2008-03-18.

Ryan Tracy, Dmd, Pllc's current location address is 104 Clinton Center Dr, Clinton, Mississippi. You can contact this provider via phone number 6019240770 and fax number 6019242523. The mailing address for Ryan Tracy, Dmd, Pllc is 104 Clinton Center Dr, Clinton, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Organization Ryan Tracy, Dmd, Pllc
Address 104 Clinton Center Dr, Clinton, Mississippi
Phone Number 6019240770
Fax Number 6019242523
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Tracy Ryan Richard
Credentials DMD
Telephone Number 6019240770

NPI Number Detail

NPI Number 1851562722
Provider Enumeration Date 2008-03-18
Last Updated Date 2008-03-18

Provider Mailing Address Detail

Address 104 Clinton Center Dr
City Clinton
State Mississippi (MS)
Post Code 390565627
Phone Number 6019240770
Fax Number 6019242523

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 3072-98
Definition:
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti

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FAQs about Ryan Tracy, Dmd, Pllc

What is the unique 10-digit identification code issued to Ryan Tracy, Dmd, Pllc by the Centers for Medicare & Medicaid Services?

The Ryan Tracy, Dmd, Pllc has been assigned the NPI (National Provider Identifier) 1851562722 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete street address where Ryan Tracy, Dmd, Pllc is physically located?

The Ryan Tracy, Dmd, Pllc is physically situated at the following address: 104 Clinton Center Dr, Clinton, MS, 390565627.

What is the Ryan Tracy, Dmd, Pllc's area of specialization and corresponding taxonomy classification?

The Ryan Tracy, Dmd, Pllc's specialty field is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their specialties.

When did the Ryan Tracy, Dmd, Pllc receive its 1851562722?

The Ryan Tracy, Dmd, Pllc was issued its 1851562722 on 2008-03-18, which is the date when the organization was assigned this unique identifier.

As of what date were the details related to Ryan Tracy, Dmd, Pllc most recently updated or revised?

The information pertaining to Ryan Tracy, Dmd, Pllc, including its address, specialty, and other relevant details, was last updated or revised on 2008-03-18.

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