Active NPI
Edward Rynkowsky, DMD
- Oral and Maxillofacial Surgery (Dentist)
- Fort Bragg, NC
National Provider Identifier
1487270799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 10440
- Practice address
- 2817 Rock Merritt Ave
Fort Bragg, NC 28310-0001 - Phone
- (910) 907-6974
- NPI assigned
- Jun 23, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 10440 | KY | |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 14642 | NC | |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 10440 | KY | Primary |
| Dentist | 122300000X | 10440 | KY |
Addresses
Primary practice location
2817 Rock Merritt Ave
Fort Bragg, NC 28310-0001
Mailing address
2817 Rock Merritt Ave Womack Army Medical Center
Fort Bragg, NC 28310-0001
Phone (910) 907-8922
Other practice location 1
Dwight David Eisenhower Army Medical Center
Augusta, GA 30805
Phone (706) 787-5322
Other practice location 2
USA Dental Health Activity, Bldg 38801 Academic Drive
Suite B & C
Ft. Gordon, GA 30905-5660
Phone (706) 627-1298
Other practice location 3
25501 Brainard Ave.
Fort Gordon, GA 30905
Phone (706) 787-7050
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10440 | KY | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783468800000",
"number": "1487270799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2817 ROCK MERRITT AVE WOMACK ARMY MEDICAL CENTER",
"city": "FORT BRAGG",
"state": "NC",
"postal_code": "283100001",
"telephone_number": "910-907-8922",
"fax_number": "910-907-6069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2817 ROCK MERRITT AVE",
"city": "FORT BRAGG",
"state": "NC",
"postal_code": "283100001",
"telephone_number": "910-907-6974"
}
],
"practiceLocations": [
{
"address_1": "Dwight David Eisenhower Army Medical Center",
"address_purpose": "LOCATION",
"city": "Augusta",
"state": "GA",
"postal_code": "30805",
"country_code": "US",
"telephone_number": "706-787-5322",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "USA Dental Health Activity, Bldg 38801 Academic Drive",
"address_2": "Suite B & C",
"address_purpose": "LOCATION",
"city": "Ft. Gordon",
"state": "GA",
"postal_code": "309055660",
"country_code": "US",
"telephone_number": "706-627-1298",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "25501 Brainard Ave.",
"address_purpose": "LOCATION",
"city": "Fort Gordon",
"state": "GA",
"postal_code": "30905",
"country_code": "US",
"telephone_number": "706-787-7050",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RYNKOWSKY",
"first_name": "EDWARD",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-06-23",
"last_updated": "2026-07-08",
"certification_date": "2026-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "KY",
"license": "10440",
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "NC",
"license": "14642",
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "KY",
"license": "10440",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "KY",
"license": "10440",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Bragg, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.