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Contact Information

RYAN D TSCHETTER, DDS
1124 S COLLEGE MALL RD
BLOOMINGTON, IN47401
 Phone: 812-336-5525
 Fax: 812-332-5520
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
 

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for RYAN D TSCHETTER · (Male)

NPI # 1457431629
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 10/16/2006
Last updated 05/17/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 12010765A
  • IN Medicaid 200974140A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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