Organization
J.D RYAN DDS, INC.
Active
Other names
Smilemakers family dental group west
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. COLLEEN R AVERY (COMPANY MANAGER)
(614) 276-6226
Entity
Organization
Contact information
Practice address
779 HARRISBURG PIKE, COLUMBUS, OH 43223-2113
(614) 276-6226
(614) 276-6129
Mailing address
779 HARRISBURG PIKE, COLUMBUS, OH 43223-2113
(614) 276-6226
(614) 276-6129
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30013969
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0222968
—
OH
Enumeration date
03/11/2008
Last updated
03/11/2008
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