Individual
DR. JOHN C DRYDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
D5576
AZ
1223P0221X
Pediatric Dentistry
Primary
DS037749
PA
1223P0221X
Pediatric Dentistry
S6-104C
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
645096
—
AZ
Enumeration date
04/18/2006
Last updated
07/24/2013
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