Basic Information
| Provider Information | |||||||||
| NPI: | 1790805109 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | LINDNER | ||||||||
| FirstName: | RYAN | ||||||||
| MiddleName: | LLOYD | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | DDS | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 580438 | ||||||||
| Address2: | |||||||||
| City: | MINNEAPOLIS | ||||||||
| State: | MN | ||||||||
| PostalCode: | 554580438 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6123827926 | ||||||||
| FaxNumber: | 6128212818 | ||||||||
| Practice Location | |||||||||
| Address1: | 4243 4TH AVE S | ||||||||
| Address2: | |||||||||
| City: | MINNEAPOLIS | ||||||||
| State: | MN | ||||||||
| PostalCode: | 554092113 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6128229030 | ||||||||
| FaxNumber: | 6128212818 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/30/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 122300000X | D11117 | MN | Y | Dental Providers | Dentist |
No ID Information.