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Dr. Ryan Collins, PLLC

Dentist, General Practice in Indialantic, FL. Organization (NPI-2).

NPI number1336686161
StatusActive
Last updated in NPPESAug 26, 2025

Details

NPI
1336686161
Entity type
Organization (NPI-2)
Legal business name
Dr. Ryan Collins, PLLC
Organization subpart
No
Enumeration date
Jan 31, 2017
Certification date
Aug 26, 2025
Last updated
Aug 26, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice––Yes

Other names

  • Banana River Dental (Doing Business As)

Practice location

141 Coconut Dr
Indialantic, FL 32903-2607

Phone 321-543-7829

Mailing address

141 Coconut Dr
Indialantic, FL 32903-2607

Phone 321-543-7829

Authorized official

Ryan Collins
Manager
3217776453

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