Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1306391016 Individual Practitioner Male Practitioner

Dr. Ryan Costner , DDS

Dentist - General Practice • Erwin, NC

Professional Overview & Biography Verified Profile Summary

Dr. Ryan Costner, DDS is a registered healthcare professional specializing in Dentist - General Practice in Erwin, NC. Practice services are available at 598 E JACKSON BLVD STE 200 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

598 E Jackson Blvd Ste 200

Erwin, NC 283399632

Telephone 9102305472
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Erwin, NC

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 11.6 Yrs
Regional Practice Density
5 Specialists

Practicing in Erwin, NC (4047 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: 2021-07-29
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License NC 10873

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 - General Practice

NUCC Taxonomy Code: 1223G0001X

State License IA 40161

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.

Secondary Practice Locations

131 Montgomery Xing

Biscoe, NC 272099592

Phone: 9104282048

920 W Hamlet Ave

Hamlet, NC 28345

Phone: 9105825143

10677 Us 15 501 Hwy

Southern Pines, NC 283875154

Phone: 9102955980

Career & Practice History Timeline

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

13 Historical Events
📍
Updated Practice Location July 29, 2021

Registered at 598 E JACKSON BLVD STE 200, ERWIN, NC 283399632 (Tel: 9102305472)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Dentist (License #40161 in IA)

NPI Profile Active December 12, 2017

NPI status registered as active in NPPES database

📍
Updated Business Mailing Address December 12, 2017

Registered at 12450 CLEVELAND RD STE 203, GARNER, NC 275298355 (Tel: 9192777957)

📍
Updated Practice Location December 12, 2017

Registered at 322 DENTAL SCIENCE BLDG S, IOWA CITY, IA 522421001 (Tel: 3193357440)

👤
Provider Name / Credentials Updated December 12, 2017

Recorded as RYAN COSTNER, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 12, 2017

Dentist (License #10873 in NC)

NPI Profile Active August 23, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location August 23, 2016

Registered at 322 DENTAL SCIENCE BLDG S, IOWA CITY, IA 522421001 (Tel: 3193357440)

📍
Updated Business Mailing Address August 23, 2016

Registered at 322 DENTAL SCIENCE BLDG S, IOWA CITY, IA 522421001 (Tel: 3193357440)

👤
Provider Name / Credentials Updated August 23, 2016

Recorded as RYAN COSTNER, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 23, 2016

Dentist (License #40161 in IA)

🟢
Initial NPI Registration & Enumeration August 23, 2016

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: 1306391016
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 23, 2016
Last Update: July 29, 2021
Sole Proprietor: No

Mailing Address

12450 Cleveland Rd Ste 203

Garner, NC 275298355

Phone: 9192777957

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.