Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Amanda Rose Ryan, DMD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1346815131

Dr. Amanda Rose Ryan, DMD is a Student in an Organized Health Care Education/Training Program in Appleton, Wisconsin. Licensed in Massachusetts and Wisconsin. Registered with an NPI since 2021.

Licensed in
MA, WI
In the registry since
2021
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

811 N Lynndale Dr Ste 1A
Appleton, WI 54914-3085
Phone: (920) 739-1055
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 1002583-15 (WI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (MA)

Record details

NPI number1346815131
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorNo
NPI enumeratedMay 24, 2021
Last updated in NPPESJune 18, 2021
Certification dateJune 18, 2021
Mailing address1435 N McCarthy Rd Apt 5, Appleton, WI 54913-8285

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