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Individual

DR. RYAN ALLEN HERSHEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
BUREAU OF MEDICINE AND SURGERY 554 KEILY ST., CENTRALIZED CREDENTIALS AND PRIVILEGING DIRECTORATE, JACKSONVILLE, FL 32212
(757) 953-7011
Mailing address
BUREAU OF MEDICINE AND SURGERY 554 KEILY ST., CENTRALIZED CREDENTIALING AND PRIVILEGING DIRECTORATE, JACKSONVILLE, FL 32212
(757) 953-7011

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
8725121-9921
UT

Other

Enumeration date
07/23/2013
Last updated
09/29/2025
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