Jack, Ryan Michael

Jack, Ryan Michael is an individual health care provider with primary practice located at 8580 Scarborough Dr #200, Colorado Springs CO 80920-7583. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Jack, Ryan Michael can be contacted via phone (719) 282-6600.

Contact Information

Primary practice address
8580 Scarborough Dr #200 Colorado Springs CO 80920-7583
Phone: (719) 282-6600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X D-3585 Idaho
Dental Providers / Endodontics 1223E0200X DN18177 Florida
Dental Providers / Endodontics 1223E0200X 10046 Colorado

Profile Details

NPI number 1538130752
LBN Legal business name Jack, Ryan Michael
Credentials D.D.S., M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2006
Last updated Jun 27th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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