Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. RYAN ELSTON BOOTH, DDS
Active Sole ProprietorDR. RYAN ELSTON BOOTH, DDS is a Orthodontics healthcare provider located in HOMER GLEN, Illinois. NPI 1578036638 is currently active in the NPPES registry. Verify at CMS.
Orthodontics · HOMER GLEN, IL
Registration Details
- NPI Number
- 1578036638
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 10, 2019 (7.5498752590266 yrs)
- Last Updated
- Jan 10, 2019
- License
-
021002799 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
12635 W 143RD STHOMER GLEN, IL, 604918381Browse IL providers · Browse ZIP 60491
- Phone
- 7083010005
- Primary Specialty
-
Orthodontics
1223X0400X
Other Orthodontics Providers in HOMER GLEN, IL
| Name | Credential | NPI |
|---|---|---|
| DR. BARRY E BOOTH | D.D.S., M.S. | 1770629065 |
| KRISTINA DRAGSTREM | DDS, MS | 1245640424 |
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.