Ryan Driesse, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN122304 Issued in GA

Practice address

312 Tribble Gap Rd
Cumming, GA 30040-2440

Phone

(770) 887-1399

NPI assigned

Jun 22, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mountain City Dentistry LLC

  • General Practice Dentistry
  • Jasper, GA
  • NPI 1467222588
  NPD Authorized official
• Forsyth Dental Partners, LLC

  • Preferred Provider Organization
  • Cumming, GA
  • NPI 1235965526
  NPD

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

{
    "created_epoch": "1624320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1477122745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4025 WILLIAMS POINT DR",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300289107",
            "telephone_number": "678-327-5055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 TRIBBLE GAP RD",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300402440",
            "telephone_number": "770-887-1399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRIESSE",
        "first_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-22",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN122304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "rtdriesse@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "312 Tribble Gap Rd",
            "city": "Cumming",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300402440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nicholas Michael Drahush, M.D.
• Dream Baby Cafe, LLC
• Emily Elizabeth Dreslinski, OTR/L
• Kevante Drew
• Bernard R Drexinger Jr., M.D.
• Alixandria Drummond
• Marsha Michelle Drummond, PHARM.D.
• Amit K Dua, M.D.
• Anjali C Dua, M.D.
• Karen A Dubose, M.D.

• General Practice Dentistry in Cumming, GA
• Providers in Cumming, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; 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.