Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Ryan Fredric Bloomquist, MD, PHD, DMD, MBA

Individual provider Dentist · NPI 1659893857

Dr. Ryan Fredric Bloomquist, MD, PHD, DMD, MBA is a Dentist in Augusta, Georgia. Licensed in Georgia. Registered with an NPI since 2017.

Licensed in
GA
In the registry since
2017
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.
MBA — Master of Business Administration
A graduate business degree.

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Practice location Address checks out

1120 15th St
Augusta, GA 30912-0001
Phone: (706) 721-2371
Fax: (706) 721-6778
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 17782 (GA)
Dentist Taxonomy 122300000X · Licence DN015571 (GA)

Record details

NPI number1659893857
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , PHD , DMD , MBA
Sole proprietorNo
NPI enumeratedJuly 10, 2017
Last updated in NPPESJune 24, 2025
Certification dateJune 24, 2025

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