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Jake Ryan
General Practice Dentistry in St Augustine, Florida
NPI 1528746070

Jake Ryan is a General Practice Dentistry based in St Augustine, FL and is specialized in General Practice. Jake Ryan practices in St Augustine, FL. The NPI Number for Jake Ryan is 1528746070 and holds a License No. DN28000 (Florida).

The current practice location address for Jake Ryan is 4327 Us 1 S, St Augustine, FL and can be reached out via phone at 904-494-8630.

Location: 4327 Us 1 S, St Augustine, FL, 32086-7278
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528746070
Provider Name
Jake Ryan
Credential
Provider Entity Type
Individual
Gender
Male
Address
4327 Us 1 S, St Augustine, FL, 32086-7278
Phone Number
904-494-8630
Fax Number
Provider Enumeration Date
07/06/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4327 Us 1 S
City
St Augustine
State
Florida
Zip
32086-7278
Phone Number
904-494-8630
Fax Number
person
Provider Business Mailing Address Details
Address
4327 Us 1 S
City
St Augustine
State
Florida
Zip
32086-7278
Phone Number
904-494-8630
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
DN28000 (Florida)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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