Ryan Scott Kezele, d.d.s.
Dentist in Yakima, WA. Individual provider (NPI-1).
NPI number1508071705
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1508071705
- Entity type
- Individual (NPI-1)
- Name
- Ryan Scott Kezele
- Credential
- d.d.s.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 11, 2007
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 9368 | WA | Yes |
Practice location
606 S 48th AveYakima, WA 98908-3613
Phone 509-965-3235 · Fax 509-965-9405
Mailing address
2991 Rosenkranz RdTieton, WA 98947-9520
Phone 509-673-0190
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 73 Dentist providers in Yakima · All 4,822 providers in Yakima
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