NPI 1003093469

Terrence Wayne Ryckman, DDS

Practitioner Dentist Owosso, MI

Practice location

Address: 310 N Park St, Owosso, MI 48867-3044
Phone: (989) 723-8440

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 2901009648 (MI)

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Registry record

NPI: 1003093469
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Jan 2008
Record last updated: 29 Jan 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.