Doctor profile · Federal record
Dr. Ryan Booth, DDS
Orthodontics and Dentofacial Orthopedic Dentist · Homer Glen, IL
- NPI 1578036638
- 7 yrs on file
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
12635 W 143Rd St
Homer Glen, IL 604918381
(708) 301-0005
Credentials & registration
- NPI registered
- January 2019 — 7 yrs on file
- Specialty taxonomy
- 1223X0400X — NUCC code
- State license (1)
- Illinois #021002799
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1578036638. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$30
Transactions
2
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Envista Holdings Corporation | 2 | $30.46 |
By nature of payment
Frequently asked questions
What is Dr. Ryan Booth's medical specialty?
Dr. Ryan Booth practices Orthodontics and Dentofacial Orthopedic Dentist in Homer Glen, IL.
Where does Dr. Ryan Booth practice?
Dr. Ryan Booth practices at 12635 W 143Rd St, Homer Glen, IL 604918381. Office phone: 7083010005.
What is Dr. Ryan Booth's NPI?
Dr. Ryan Booth's National Provider Identifier (NPI) is 1578036638, issued by NPPES.