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

Ryan Keith Harris, DMD

Individual provider Dentist · NPI 1740617992

Ryan Keith Harris, DMD is a Dentist in Bolivar, Missouri. Practices as a sole proprietor. Licensed in Idaho and Missouri.

Licensed in
ID, MO
In the registry since
2013
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

121 N Main Ave
Bolivar, MO 65613-1517
Phone: (417) 422-4540
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 2021016226 (MO)
Dentist Taxonomy 122300000X · Licence D-4515 (ID)

Record details

NPI number1740617992
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedOctober 2, 2013
Last updated in NPPESApril 21, 2022
Certification dateApril 21, 2022
Mailing address121 N Main Ave, Bolivar, MO 65613-1517

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