| Dr Ryan Keith Dagen, DDS | |
|
262 Danny Thomas Pl, Memphis, TN 38105-3678 | |
| (901) 595-3300 | |
| Not Available |
| Full Name | Dr Ryan Keith Dagen |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 262 Danny Thomas Pl, Memphis, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295098226 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 9498 (Tennessee) | Primary |
| 1223G0001X | Dentist - General Practice | 9498 (Tennessee) | Secondary |
| Entity Name | St Jude Childrens Research Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306335088 PECOS PAC ID: 7315133444 Enrollment ID: O20180821000139 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ryan Keith Dagen, DDS 280 German Oak Dr, Cordova, TN 38018-7220 Ph: (901) 753-9005 | Dr Ryan Keith Dagen, DDS 262 Danny Thomas Pl, Memphis, TN 38105-3678 Ph: (901) 595-3300 |
Dr. Yousef Odeh Jefferson, DDS Dentist Medicare: Medicare Enrolled Practice Location: 2953 Broad Ave, Memphis, TN 38112 Phone: 901-842-3171 |
Dr. David Richard Cagna, D.M.D., M.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: Uthsc College Of Dentistry, 875 Union Avenue, Memphis, TN 38163 Phone: 901-448-6642 Fax: 901-448-1294 |
Dr. Thomas Henry Shipmon, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 5170 Sanderlin Ave, Suite 203, Memphis, TN 38117 Phone: 901-767-3603 Fax: 901-761-1969 |
Dr. Robert Wood Smith, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1030 Jefferson Ave, Memphis, TN 38104 Phone: 901-523-8990 |
Ms. Ragonva Shante Walls, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 1273 E Raines Rd, Memphis, TN 38116 Phone: 901-398-6435 |
Dr. John Douglas Seeberg, D.M.D Dentist Medicare: Not Enrolled in Medicare Practice Location: 875 Union Ave, Memphis, TN 38163 Phone: 901-448-6267 Fax: 901-448-2671 |
Dr. Yolanda Anthony-west, DDS, MSPH Dentist Medicare: Not Enrolled in Medicare Practice Location: 1045 Mullins Station Road, Memphis, TN 38112 Phone: 901-387-5748 |