Ryan Burzese, DMD
Individual provider Active NPI Dentist · Conway, PA
NPI 1235518796 · NPPES record last updated Aug 16, 2016
Key facts
- NPI
- 1235518796
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- DS040809 (PA)
- Practice address
- 1936 Aspen CT
Conway, PA 15027-1363 - Phone
- (412) 848-4418
- NPI assigned
- May 29, 2015
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Family Dentistry | Past | Accepting new patients | |
| Dr Barry Rotz and Associates LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Dentist | 122300000X | DS040809 | PA | Yes |
Addresses
Primary practice location
1936 Aspen CT
Conway, PA 15027-1363
Mailing address
108 Vip Dr
Suite 105
Wexford, PA 15090-7975
Phone (724) 935-0700
Other providers in Conway, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 16, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.