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DR. RYAN DAVID BASTYR DMD
NPI 1609759323
Dentist in Great Lakes, IL

Active since July 29, 2025
2410 SAMPSON ST, GREAT LAKES, IL 60088(847) 688-2469 Get Directions Write a Review

NPPES record last updated: July 29, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Ryan David Bastyr Dmd NPPES

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

DR. RYAN DAVID BASTYR DMD (NPI 1609759323) is an individual dentist in Great Lakes, Illinois, licensed in Pennsylvania (DS045379) and active in the NPI registry since July 2025.

NPPES Registry Identity

NPI1609759323
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. RYAN DAVID BASTYRCredential: DMD
Location Address2410 SAMPSON STGreat Lakes, IL 60088-2942
Mailing Address420 Timberlake DrVenetia, PA 15367-1394 · (412) 616-2237
Phone(847) 688-2469
Sole ProprietorYes
Enumeration DateJuly 29, 2025
NPPES CertifiedJune 30, 2025
✔ NPI 1609759323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in PA · DS045379
Definition
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 requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
2410 SAMPSON ST, Great Lakes, IL 60088
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LUCAS WILLIAMS DMD
Dentist
2410 SAMPSON ST
NORTH CHICAGO, IL 60088
Lake County (647) 688-2469
SHANNAN JESSE WALKER DDS
Dentist
2410 SAMPSON ST
GREAT LAKES, IL 60088
Lake County (847) 688-3331
ALEJANDRA RUIZ ORNELAS DDS
Dentist
2410 SAMPSON ST
NORTH CHICAGO, IL 60088
Lake County (847) 688-2469
JENNIFER ANN SELUZICKI WEST
Dentist (General Practice)
2410 SAMPSON ST
NORTH CHICAGO, IL 60088
Lake County (847) 688-2469
ROSS EVAN BAKER DDS
Dentist (General Practice)
2410 SAMPSON ST
NORTH CHICAGO, IL 60088
Lake County (847) 688-2469
MR. JOHNNY IFOPO
Specialist/Technologist, Other
2410 SAMPSON ST
GREAT LAKES, IL 60088
Lake County (520) 490-5187
MR. JOHN ALLAN CLAYTON FULLING IDC
Military Health Care Provider (Independent Duty Corpsman)
2410 SAMPSON ST, FISHER BMC #237
GREAT LAKES, IL 60088
Lake County (847) 688-5556
MRS. SAMANTHA L CHANG DMD
Dentist (General Practice)
2410 SAMPSON ST
GREAT LAKES, IL 60088
Lake County (847) 688-2469

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ryan Bastyr's NPI number?

The NPI number for Ryan Bastyr is 1609759323. It was assigned to this individual provider in the NPPES registry on July 29, 2025.

Where is Ryan Bastyr located?

Ryan Bastyr practices at 2410 Sampson St, Great Lakes, IL 60088. The listed phone number is (847) 688-2469.

What is Ryan Bastyr's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Ryan Bastyr was last updated on July 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.