Individual
JEFFREY J RYU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
6389 N QUAIL HOLLOW RD STE 202, MEMPHIS, TN 38120-1427
(901) 767-3950
Mailing address
6389 N QUAIL HOLLOW RD STE 202, MEMPHIS, TN 38120-1427
(901) 767-3950
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS07850
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4060760
BLUE CROSS BLUE SHIELD
TN
Enumeration date
09/24/2006
Last updated
07/26/2022
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