Jake Ryan
General Practice Dentistry · St Augustine, FL
Practice location
4327 Us 1 SSt Augustine, FL 32086-7278
- Phone
- (904) 494-8630
NPI record
- NPI
- 1528746070
- Entity type
- Individual (Type 1)
- Enumeration date
- July 6, 2023
- Last updated
- July 24, 2023
- Certified
- July 24, 2023
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Dentistry Primary | 1223G0001X |
DN28000 | FL |
About Jake Ryan
Jake Ryan is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 4327 Us 1 S, St Augustine, FL 32086-7278. The NPI number 1528746070 was assigned on July 6, 2023 and the record was last updated on July 24, 2023.
Jake Ryan lists a license in the registry: #DN28000 (FL) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Jake Ryan?
The NPI number is 1528746070.
What is the phone number of Jake Ryan?
The phone number listed for the practice location is (904) 494-8630.
Where is Jake Ryan located?
4327 Us 1 S, St Augustine, FL 32086-7278.
What is the taxonomy code for Jake Ryan?
The primary taxonomy code is 1223G0001X – General Practice Dentistry.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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