Dr. RYAN M. DIEPENBROCK D.D.S.
Individual Provider (NPI-1)
Active
Oral & Maxillofacial Surgery
Provider Information
- NPI Number
1942399159- Provider Type
- Individual Provider (NPI-1)
- Credentials
- D.D.S.
- Status
- Active
Contact & Location
- Address
- 7845 CARNEGIE BLVD STE A, FORT WAYNE, IN, 468045792
- Phone
- (260) 423-2340
Specialties & Taxonomies
Oral & Maxillofacial Surgery
License: CA #63091
Dentist, Oral and Maxillofacial Surgery
License: OH #30-022164
Oral & Maxillofacial Surgery
Primary License: IN #12012587A