Individual provider · Type 1 NPI

Ryan David Bastyr, DMD

Dentist · Great Lakes, IL

NPI number 1609759323 Active

Practice location

2410 Sampson St
Great Lakes, IL 60088-2942

Call (847) 688-2469 Map

Mailing address

420 Timberlake Dr
Venetia, PA 15367-1394

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000XDS045379 (PA)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1609759323

Ryan David Bastyr, DMD's National Provider Identifier is 1609759323, issued on Jul 29, 2025. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Great Lakes, IL. The record was last updated on Jul 29, 2025.