Male or Other

Dr. Ryan W. Burleson D.D.S.

Endodontist in Apex, NC(View on Map)

Full Name

Dr. Ryan W. Burleson D.D.S.

NPI Number

1477671915

NPI Type

Individual Provider

Gender

Male

Enumeration Date

03/26/2007

Specialties

(Taxonomies)

Code

1223E0200X
122300000X

Primary Taxonomy

Yes
No

Licenses

State

North Carolina
Ohio
West Virginia

License Number

8533
21556
3700

Contact
Information

Purpose

Mailing
Location

Address

1011 W WILLIAMS ST
1011 W WILLIAMS ST

City

Apex
Apex

State

NC
NC

Postal Code

27502-3979
27502-3979

Country

US
US

Telephone Number

(919) 367-2875
(919) 367-2875

Identifiers

Identifier

810556546
2350290

Identifier State

OH
OH

Identifier Issuer

TAX ID
Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/15/2008

Provider Address