Individual provider · Type 1 NPI

Ryan Michael Mulligan, DDS

General Practice Dentistry · St. Louis, MO

NPI number 1275193229 Active

Practice location

4527 Forest Park Ave
St. Louis, MO 63108-2113

Call (314) 367-7200 Map

Fax (314) 367-0508

Mailing address

7040 Waterman Ave
University City, MO 63130-4323

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X2019021896 (MO)
General Practice Dentistry Primary 1223G0001X2019021896 (MO)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

4 other providers at this address

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About NPI 1275193229

Ryan Michael Mulligan, DDS's National Provider Identifier is 1275193229, issued on Jun 20, 2019. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in St. Louis, MO. The record was last updated on Aug 23, 2021.