| Ryan A Draiss Dmd Llc | |
|
407 Chelsea Crossroads Chelsea AL 35043-3901 | |
| (205) 370-7499 | |
| Not Available |
| Full Name | Ryan A Draiss Dmd Llc |
|---|---|
| Speciality | Dentist |
| Location | 407 Chelsea Crossroads, Chelsea, Alabama |
| Authorized Official Name and Position | Ryan A Draiss (OWNER) |
| Authorized Official Contact | 2053707499 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan A Draiss Dmd Llc 407 Chelsea Crossroads Chelsea AL 35043-3901 Ph: (205) 370-7499 | Ryan A Draiss Dmd Llc 407 Chelsea Crossroads Chelsea AL 35043-3901 Ph: (205) 370-7499 |
| NPI Number | 1457629198 |
|---|---|
| Provider Enumeration Date | 12/08/2011 |
| Last Update Date | 12/08/2011 |
| Medicare PECOS PAC ID | 5991109852 |
|---|---|
| Medicare Enrollment ID | O20210813003200 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457629198 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5781 (Alabama) | Primary |
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