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

Dr. Ryan Michael Mulligan, DDS

Individual provider Dentist · NPI 1275193229

Dr. Ryan Michael Mulligan, DDS is a Dentist in Saint Louis, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2019
Specialties on file
2
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.

See every abbreviation used in this directory →

Practice location Address checks out

4527 Forest Park Ave
Saint Louis, MO 63108-2113
Phone: (314) 367-7200
Fax: (314) 367-0508
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 2019021896 (MO)
Dentist Taxonomy 122300000X · Licence 2019021896 (MO)

Record details

NPI number1275193229
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedJune 20, 2019
Last updated in NPPESAugust 23, 2021
Certification dateAugust 23, 2021

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