| Dr Ryan Michael Dunlavey, DDS | |
|
11475 Robinson Dr Nw, Coon Rapids, MN 55433-3746 | |
| (763) 587-9100 | |
| Not Available |
| Full Name | Dr Ryan Michael Dunlavey |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 11475 Robinson Dr Nw, Coon Rapids, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871652651 | NPI | - | NPPES |
| 216647000 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D12243 (Minnesota) | Primary |
| Entity Name | Group Health Plan Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ryan Michael Dunlavey, DDS 11524 Dunkirk Ct Ne, Blaine, MN 55449-6788 Ph: (612) 799-7525 | Dr Ryan Michael Dunlavey, DDS 11475 Robinson Dr Nw, Coon Rapids, MN 55433-3746 Ph: (763) 587-9100 |
Dr. Michele L Tafoya, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3360 Northdale Blvd Nw, Coon Rapids, MN 55448 Phone: 763-233-3390 | |
Dr. Ramon Aguirre, D.D.S., M.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 3960 Coon Rapids Blvd Nw, Suite 320, Coon Rapids, MN 55433 Phone: 763-427-1720 Fax: 763-427-5659 | |
Robert Sylvester Breitbach, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2519 Coon Rapids Blvd, Coon Rapids, MN 55433 Phone: 763-755-2830 Fax: 763-755-9356 | |
Alexie Portz, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 13040 Riverdale Dr Nw Ste 600, Coon Rapids, MN 55448 Phone: 763-323-3042 | |
Dr. Erik William Marksberry, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 10756 Butternut St Nw, Coon Rapids, MN 55448 Phone: 763-757-4170 Fax: 763-757-7940 | |
Tina A Nguyen, Dentist Medicare: Medicare Enrolled Practice Location: 13040 Riverdale Dr Nw Ste 600, Coon Rapids, MN 55448 Phone: 763-323-3042 | |
Lisa Domeyer, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 11441 Osage St Nw, Coon Rapids, MN 55433 Phone: 763-757-6600 Fax: 763-757-6600 |