Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. RYAN JAMES DAVIS, DMD, MS
Active Sole ProprietorDR. RYAN JAMES DAVIS, DMD, MS is a Periodontology healthcare provider located in PEORIA, Illinois. NPI 1396916649 is currently active in the NPPES registry. Verify at CMS.
Periodontology · PEORIA, IL
Registration Details
- NPI Number
- 1396916649
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 14, 2008 (18.383924449282 yrs)
- Last Updated
- Oct 17, 2012
- Licenses
-
019.027.427 (IL)021.002357 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1717 W CANDLETREE DR STE APEORIA, IL, 616141592Browse IL providers · Browse ZIP 61614
- Phone
- 3093608502
- Primary Specialty
-
Periodontology
1223P0300X
- Additional Specialty
- Periodontology
Other Periodontology Providers in PEORIA, IL
| Name | Credential | NPI |
|---|---|---|
| DR. CHRISTOPHER JOSEPH COURI | DDS MS | 1881750420 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.