Ryan Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

RYAN DENTAL LLC

Practice address

622 Savin Ave
West Haven, CT 06516-4936

Phone

(203) 933-7095

NPI assigned

Jul 28, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ryan Ku

Title

Managing Member

Phone

(917) 679-1120

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark T Ryan, DMD

  • Dental Hygienist
  • West Haven, CT
  • NPI 1740322049
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1785196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785196800000",
    "number": "1306768874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 SAVIN AVE",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065164936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 SAVIN AVE",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065164936",
            "telephone_number": "203-933-7095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYAN DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-28",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A",
        "authorized_official_last_name": "KU",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "917-679-1120"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert John Ruby Jr., D.M.D.
• Christopher Brian Ruser, M.D.
• Elizabeth Russo, F.N.P.
• Lisa C Russo, APRN
• Vijaya Durga Ryali, RPH
• Andrea Catherine Ryan, PCA
• Angela Helen Ryan, MD
• Annemarie Ryan, CDE,RD
• Mark T Ryan, DMD
• Sacred Ground Institute LLC

• General Practice Dentistry in West Haven, CT
• Providers in West Haven, CT by specialty
• General Practice Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.