Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1528588167 Individual Practitioner Male Practitioner

Dr. Ryan Wisdom , DDS

Dentist - General Practice • Middletown, NY

Professional Overview & Biography Verified Profile Summary

Dr. Ryan Wisdom, DDS is a registered healthcare professional specializing in Dentist - General Practice in Middletown, NY. Practice services are available at 75 DOLSON AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

75 Dolson Ave

Middletown, NY 109406501

Telephone 8454763888
Associated Practice Facility / Clinic
🏢 Dolson Avenue Dental Pc Facility NPI 1245330372

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Middletown, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.2 Yrs
Regional Practice Density
38 Specialists

Practicing in Middletown, NY (8411 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

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License NY 059915

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Secondary Practice Locations

155 Main St Ste 101

Brewster, NY 105091521

Phone: 8452796999

5 Grace Church St

Port Chester, NY 105734911

Phone: 9149378899

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Mark Dawoud , DMD

Dentist - Pediatric Dentistry

NPI 1013277037

Doctor of Dental Medicine

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location December 06, 2018

Registered at 75 DOLSON AVE, MIDDLETOWN, NY 109406501 (Tel: 8454763888)

📍
Updated Business Mailing Address December 06, 2018

Registered at 75 DOLSON AVE, MIDDLETOWN, NY 109406501

NPI Profile Active June 25, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location June 25, 2017

Registered at 5 GRACE CHURCH ST, PORT CHESTER, NY 105734911 (Tel: 9149378899)

📍
Updated Business Mailing Address June 25, 2017

Registered at 701 N BROADWAY, SLEEPY HOLLOW, NY 105911020

👤
Provider Name / Credentials Updated June 25, 2017

Recorded as RYAN WISDOM, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 25, 2017

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration June 25, 2017

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: 1528588167
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 25, 2017
Last Update: December 06, 2018
Sole Proprietor: No

Mailing Address

75 Dolson Ave

Middletown, NY 109406501

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.