IndividualActive
Mark Ryan, D.D.S.
NPI 1023354388 · Orthodontics and Dentofacial Orthopedics Dentistry · Jbsa Lackland, TX
Provider details
- NPI number
- 1023354388
- Entity type
- Individual
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- No
- License
- 019.029011 (IL)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2133 Pepperrell St Bldg 3352
Jbsa Lackland, TX 78236-5313
Phone: (210) 292-6258
Fax: (210) 292-2618
Approximate (ZIP-level) locationGet directions
Mailing address
Psc 808 Box 19
Fpo, AE 09618-0001
Additional practice locations (1)
- U.S. Naval HospitalVia Contrada BoscarielloGricignano Di Aversa, CE 81030Phone: (081) 811-6000
Registry dates
- Enumerated
- 2012-12-13
- Last updated
- 2023-07-28
- Certified
- 2023-07-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.