Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1740617992 Individual Practitioner Male Practitioner

Dr. Ryan Keith Harris , DMD

Dentist - General Practice • Bolivar, MO

Professional Overview & Biography Verified Profile Summary

Dr. Ryan Harris, DMD is a registered healthcare professional specializing in Dentist - General Practice in Bolivar, MO. Practice services are available at 121 N MAIN AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

121 N Main Ave

Bolivar, MO 656131517

Telephone 4174224540
Associated Practice Facility / Clinic
🏢 Blue Cedar Dentistry Llc Facility NPI 1528635919

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Bolivar, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.5 Yrs
Regional Practice Density
9 Specialists

Practicing in Bolivar, MO (2113 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-04-21
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MO 2021016226

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.

Dentist

NUCC Taxonomy Code: 122300000X

State License ID D-4515

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1053988634

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location April 21, 2022

Registered at 121 N MAIN AVE, BOLIVAR, MO 656131517 (Tel: 4174224540)

📍
Updated Business Mailing Address April 21, 2022

Registered at 121 N MAIN AVE, BOLIVAR, MO 656131517 (Tel: 4174224540)

NPI Profile Active May 13, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location May 13, 2015

Registered at 8950 W EMERALD ST STE 108, BOISE, ID 837044842 (Tel: 2086728682)

📍
Updated Business Mailing Address May 13, 2015

Registered at 6950 NE CAMPUS WAY, HILLSBORO, OR 971245611 (Tel: 5039522125)

👤
Provider Name / Credentials Updated May 13, 2015

Recorded as RYAN HARRIS, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 13, 2015

Dentist (License #D-4515 in ID)

🟢
Initial NPI Registration & Enumeration October 02, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1740617992
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 02, 2013
Last Update: April 21, 2022
Sole Proprietor: Yes

Mailing Address

121 N Main Ave

Bolivar, MO 656131517

Phone: 4174224540

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.