DR. RYAN MICHAEL MULLIGAN DDS NPI 1275193229

NPI Information

  • NPI: 1275193229
  • Provider Name: DR. RYAN MICHAEL MULLIGAN, DDS
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4527 FOREST PARK AVE
    SAINT LOUIS, MO
    ZIP 63108
  • Phone: (314) 367-7200

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NPI Details

DR. Ryan Michael Mulligan, DDS is a general practice dentist in Saint Louis, MO. The provider is 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. DR. Ryan Michael Mulligan, DDS NPI is 1275193229. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4527 FOREST PARK AVE
SAINT LOUIS, MO
ZIP 63108-113
Phone: (314) 367-7200
Fax: (314) 367-0508

The NPI 1275193229 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 6/20/2019 and was last updated on 8/23/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1122300000XDentist2019021896MISSOURINo
21223G0001XDentistGeneral Practice2019021896MISSOURIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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