DR. MARK DANIEL RYAN D.D.S.
NPI 1023354388
Dentist - Orthodontics and Dentofacial Orthopedics in Jbsa Lackland, TX

Active since December 13, 2012
2133 PEPPERRELL ST BLDG 3352, JBSA LACKLAND, TX 78236(210) 292-6258(210) 292-2618 Get Directions Write a Review

NPPES record last updated: July 28, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 28, 2023, Jun 2, 2021 (2 updates tracked since 2021).

About Dr. Mark Daniel Ryan D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARK DANIEL RYAN D.D.S. (NPI 1023354388) is an individual orthodontics and dentofacial orthopedics provider in Jbsa Lackland, Texas, licensed in Illinois (019.029011) and active in the NPI registry since December 2012. He maintains a secondary practice location in Gricignano Di Aversa.

NPPES Registry Identity

NPI1023354388
Entity TypeIndividualMale
Primary Taxonomy1223X0400X
Provider Legal NameDR. MARK DANIEL RYANCredential: D.D.S.
Location Address2133 PEPPERRELL ST BLDG 3352Jbsa Lackland, TX 78236-5313
Mailing AddressPsc 808 Box 19Fpo, AE 09618-0001 · (081) 811-6000
Fax(210) 292-2618
Sole ProprietorNo
Enumeration DateDecember 13, 2012
Last NPPES UpdateJuly 28, 20232 updates tracked since enumeration
NPPES CertifiedJuly 28, 2023
NPI 1023354388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in IL · 019.029011
Definition

That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.

Also ListedDentistTaxonomy 122300000X · License 019029011 (IL)
2133 PEPPERRELL ST BLDG 3352, Jbsa Lackland, TX 78236

Secondary Practice Location 1

Location 1U.S. Naval Hospital, Via Contrada BoscarielloGricignano di Aversa, CE 81030 · Phone (081) 811-6000

Other Providers at the Same Location


The following 17 providers are registered at the same or a nearby location.

Dentist (General Practice)
2133 PEPPERRELL ST BLDG 3352, AF POSTGRADUATE DENTAL SCHOOL
LACKLAND A F B, TX 78236
Dentist
2133 PEPPERRELL ST BLDG 3352, 2133 PEPPERRELL STREET, BUILDING 3352
JBSA LACKLAND, TX 78236
Dentist (General Practice)
2133 PEPPERRELL ST BLDG 3352
JBSA LACKLAND, TX 78236
Dentist
2133 PEPPERRELL ST BLDG 3352
JBSA LACKLAND, TX 78236
Dentist (Orthodontics and Dentofacial Orthopedics)
2133 PEPPERRELL ST BLDG 3352
JBSA LACKLAND, TX 78236
Dentist (Orthodontics and Dentofacial Orthopedics)
2133 PEPPERRELL ST BLDG 3352
SAN ANTONIO, TX 78236
Dentist
2133 PEPPERRELL ST BLDG 3352
JBSA LACKLAND, TX 78236
Dentist
2133 PEPPERRELL ST BLDG 3352
JBSA LACKLAND, TX 78236
Dentist
2133 PEPPERRELL ST BLDG 3352
LACKLAND AFB, TX 78236
Dentist
2133 PEPPERRELL ST BLDG 3352
LACKLAND AFB, TX 78236
Dentist (General Practice)
2133 PEPPERRELL ST BLDG 3352
JBSA LACKLAND, TX 78236
Dentist
2133 PEPPERRELL ST BLDG 3352
JBSA LACKLAND, TX 78236
Dentist
2133 PEPPERRELL ST BLDG 3352
JBSA LACKLAND, TX 78236
Dentist (General Practice)
2133 PEPPERRELL ST BLDG 3352
SAN ANTONIO, TX 78236
Dentist (General Practice)
2133 PEPPERRELL ST BLDG 3352
LACKLAND AFB, TX 78236
Dentist
2133 PEPPERRELL ST BLDG 3352
JBSA LACKLAND, TX 78236
Student in an Organized Health Care Education/Training Program
2133 PEPPERRELL ST BLDG 3352
SAN ANTONIO, TX 78236

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023354388, enumerated as an "individual" on December 13, 2012.

The provider is located at 2133 PEPPERRELL ST BLDG 3352 JBSA LACKLAND, TX 78236 and the phone number is (210) 292-6258.

Dentist with taxonomy code 1223X0400X and a focus in Orthodontics and Dentofacial Orthopedics.