DR. RYAN MICHAEL BAILEY DDSMD NPI 1588643068

NPI Information

  • NPI: 1588643068
  • Provider Name: DR. RYAN MICHAEL BAILEY, DDS,MD
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 10703 SPOTSYLVANIA AVE
    SUITE 101
    FREDERICKSBURG, VA
    ZIP 22408
  • Phone: (540) 710-8880

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NPI Details

DR. Ryan Michael Bailey, DDS,MD is an oral and maxillofacial surgery dentist in Fredericksburg, VA. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. DR. Ryan Michael Bailey, DDS,MD NPI is 1588643068. 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:

10703 SPOTSYLVANIA AVE
SUITE 101
FREDERICKSBURG, VA
ZIP 22408-692
Phone: (540) 710-8880
Fax: (540) 710-8884

The NPI 1588643068 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 1/12/2006 and was last updated on 10/1/2008.

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
11223S0112XDentistOral and Maxillofacial Surgery019026604ILLINOISNo
21223S0112XDentistOral and Maxillofacial Surgery0438000230VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1K23459MEDICARE ID-TYPE UNSPECIFIED
29180286MEDICAIDILLINOIS
3V07697MEDICARE UPIN

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: 11/21/2025

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