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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1245689033

Dr. Ryan Heasley, DMD is a Student in an Organized Health Care Education/Training Program in San Diego, California. Licensed in Pennsylvania. Registered with an NPI since 2016.

Licensed in
PA
In the registry since
2016
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

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

San Diego, CA

No coordinates on file. Search this address in Google Maps

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DS041011 (PA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1245689033
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJune 13, 2016
Last updated in NPPESAugust 26, 2019

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