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Richard Ryan Coburn, DMD

NPI 1699931691ActiveIndividual· Dentist, General Practice· Lake Havasu City, AZ

Dentist, General Practice (DMD) in Lake Havasu City, Arizona, licensed in AZ and MT, with an NPI issued in July 2008.

Overview

NPI1699931691
StatusActive
Entity typeIndividual
CredentialDMD
Sole proprietorNo
NPI issuedJul 30, 2008
Last updated in NPPESJul 21, 2022

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, General Practice Primary1223G0001XD009686AZ
Dentist, General Practice1223G0001X2288MT

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

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