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RYAN DIEPENBROCK, D.D.S.

D.D.S.

Oral & Maxillofacial Surgery (D.M.D.)

NPI: 1942399159Individual

Specialties, Licenses & Credentials

Oral & Maxillofacial Surgery (D.M.D.)Primary

Oral & Maxillofacial Surgery

Code: 204E00000X

63091(CA)12012587A(IN)
Oral and Maxillofacial Surgery (Dentist)

Dentist — Oral and Maxillofacial Surgery

Code: 1223S0112X

30-022164(OH)

CMS Specialties

PrimaryORAL SURGERY

Education

OHIO STATE UNIVERSITY COLLEGE OF DENTISTRY

Class of 2005

Contact & Hours

Via practice · 3 locations total

Address
7845 CARNEGIE BLVD STE A
FORT WAYNE, IN 46804

Quick Facts

NPI
1942399159
Entity Type
Individual
Gender
Male
Medicare
Not confirmed
Specialties
3
Locations
3
Years in Practice
21

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