DR. RYAN MICHAEL HOLBROOK (NPI# 1750802997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750802997 |
| Entity Type | Individual |
| Full Name | DR. RYAN MICHAEL HOLBROOK |
| Credential | DDS |
| Practice Address |
640 W Karsch Blvd Farmington MO 63640-3342 |
| Mailing Address |
422 Lincoln Terrace Ct Fenton MO 63026-3981 |
| Practice Telephone | 5732180346 |
| Mailing Telephone | 3144099981 |
| Enumeration Date | 2017-06-28 |
| Last Update Date | 2017-06-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2017017277 | MO | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396099313 | Ryan Jack Holbrook | Massage Therapist | 6915 Lakewood Dr W Unit A2, Tacoma, WA 98467 | 2012-10-29 |
| 1235753872 | Ryan Holbrook | Student in an Organized Health Care Education/Training Program | 350 7th St N, Naples, FL 34102-5754 | 2020-05-29 |
| 1770848616 | Ryan Stephen Holbrook | Dentist | 4003 S Nova Rd, Port Orange, FL 32127-4922 | 2012-07-06 |
| 1083995633 | Ryan Sorbonne Holbrook | Dentist | 6200 S Mcclintock Dr, Tempe, AZ 85283-3268 | 2011-09-08 |
| 1942409412 | Ryan Mitchell Holbrook | Occupational Therapist | 571 Parkway Dr, Salyersville, KY 41465-9248 | 2007-07-16 |
| 1801885520 | Ryan Frederick Holbrook | Surgery | 601 S Sherman St, Spokane, WA 99202-1311 | 2005-10-14 |
| Street Address |
640 W KARSCH BLVD |
| City | FARMINGTON |
| State | MO |
| Zip Code | 63640-3342 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134744063 | Chintan Shukla | Dentist | 640 W Karsch Blvd, Farmington, MO 63640-3342 | 2020-06-16 |
| 1407415870 | Bolade Ogunrinde | Dentist | 640 W Karsch Blvd, Farmington, MO 63640-3342 | 2019-06-10 |
| 1881191922 | Mikal I. Bell Dmd LLC | Dentist | 640 W Karsch Blvd, Farmington, MO 63640-3342 | 2018-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316545254 | Brenda S Halton | Nurse Practitioner | 1010 West Columbia Street, Farmington, MO 63640 | 2020-10-13 |
| 1619519089 | Stacey Nicole Gillette | Counselor | 17885 Hart Pinkston Rd, Farmington, MO 63640 | 2019-10-17 |
| 1346890696 | Christopher Ryan Massey | Social Worker | 607 Pine St., Farmington, MO 63640 | 2019-09-18 |
| 1457909376 | Clarice Ogden | Social Worker | 203 South Washington Street, Farmington, MO 63640 | 2019-09-04 |
| 1861979718 | Clint Thebeau | In Home Supportive Care | 1276 W Liberty St, Farmington, MO 63640 | 2018-07-24 |
| 1023500600 | Lynn Machelle Knox | Counselor | 219 W Columbia St, Farmington, MO 63640 | 2018-05-31 |
| 1235620576 | Kim Bazzell | Registered Nurse | 1565 Ste. Genevieve Ave., Farmington, MO 63640 | 2018-05-22 |
| 1164919742 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 774 Market St, Farmington, MO 63640 | 2018-04-18 |
| 1184127813 | Michelle Lynette Corvallis | Chiropractor | 17 South Franklin St., Farmington, MO 63640 | 2018-03-08 |
| 1992206213 | Farmington Vision Care LLC | Optometrist | 110 E Harrison St, Farmington, MO 63640 | 2018-02-22 |
| Find all providers in zip 63640 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407416977 | Alexander Michael Shore | Dentist | 33153 Maplenut St, Farmington, MI 48336-4438 | 2019-06-17 |
| 1629596705 | Dds Catalyst Farmington, LLC | Dentist | 3501 N Butler Ave Ste 104, Farmington, NM 87401-6430 | 2017-09-08 |
| 1770939613 | Modern Dental Professionals, Mn PC | Dentist | 20700 Chippendale Ave W, Suite 10, Farmington, MN 55024-8207 | 2016-05-10 |
| 1508232992 | Christopher Nicholaus Roclevitch | Dentist | 3030 E Main St, T-1, Farmington, NM 87402-7636 | 2015-08-19 |
| 1003200569 | Pure Dental PC | Dentist | 2 Forest Park Dr Ste 1, Farmington, CT 06032-1446 | 2015-03-23 |
| 1417346016 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 520 W. Pine Street, Farmington, MO 63640-1426 | 2015-01-20 |
| 1487913869 | Modern Dental Professionals Utah, PC | Dentist | 280 N Union Ave, #l110, Farmington, UT 84025 | 2012-05-07 |
| 1427320654 | Summit Family Dental of Farmington, LLC | Dentist | 800 E 30th St Bldg 3, Farmington, NM 87401-9407 | 2012-02-03 |
| 1851679393 | Peter Urling | Dentist | 19 S. Franklin St., Farmington, MO 63640 | 2011-08-02 |
| 1437443280 | Yuriy May | Dentist | 10 Birdseye Rd Ste 240, Farmington, CT 06032-2489 | 2011-06-08 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 63640 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.