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

Dr. Ryan John Theobald, DDS

Individual provider Dentist · NPI 1508154634

Dr. Ryan John Theobald, DDS is a Dentist in Mustang, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2011.

Licensed in
OK
In the registry since
2011
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

1041 E Hwy 152
Mustang, OK 73064-5117
Phone: (405) 518-4011
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 6302 (OK)

Record details

NPI number1508154634
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJuly 11, 2011
Last updated in NPPESJuly 11, 2011
Mailing address1041 E Hwy 152, Mustang, OK 73064-5117

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