Ryan J Garcia, D.D.S.
Individual provider Active NPI Dentist · Morro Bay, CA
NPI 1710285804 · NPPES record last updated Dec 12, 2012
Key facts
- NPI
- 1710285804
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 59451 (CA)
- Practice address
- 545 Main Street
Suite #B-2
Morro Bay, CA 93442 - Phone
- (805) 772-2731
- NPI assigned
- Mar 14, 2011
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 59451 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ryan Garcia DDS PC | Dentist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 59451 | CA | Yes |
Addresses
Primary practice location
545 Main Street
Suite #B-2
Morro Bay, CA 93442
Mailing address
545 Main Street
Suite #B-2
Morro Bay, CA 93442
Phone (805) 772-2731
Other providers in Morro Bay, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 12, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.