Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Ryan Neil Jaffe, DMD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1235711797

Dr. Ryan Neil Jaffe, DMD is a Student in an Organized Health Care Education/Training Program in Winter Park, Florida. Practices as a sole proprietor. Licensed in Florida and Utah.

Licensed in
FL, UT
In the registry since
2021
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

1566 W Fairbanks Ave
Winter Park, FL 32789-4602
Phone: (407) 645-4645
Fax: (407) 628-3870
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DN25928 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (UT)

Record details

NPI number1235711797
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedApril 24, 2021
Last updated in NPPESApril 2, 2024
Certification dateApril 2, 2024
Mailing address2191 N Fork Dr, Jupiter, FL 33458-3740

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