Ryan M. Diepenbrock, D.D.S. Valid NPI

Individual provider · Oral & Maxillofacial Surgery (D.M.D.) · Fort Wayne, IN

NPI

1942399159

Type

Individual (Type 1)

Primary specialty

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

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

204E00000X

License number

12012587A (IN)

Sex

Male

Sole proprietor

No

Enumerated

2006-10-12

Last updated

2025-11-25