Jake Ryan
Jake Ryan is a General Practice Dentistry in St Augustine, Florida. Licensed in Florida. Registered with an NPI since 2023.
- Licensed in
- FL
- In the registry since
- 2023
Practice location Address checks out
4327 US 1 SSt Augustine, FL 32086-7278
Phone: (904) 494-8630
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence DN28000 (FL) |
|---|
Record details
| NPI number | 1528746070 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 6, 2023 |
| Last updated in NPPES | July 24, 2023 |
| Certification date | July 24, 2023 |
| Mailing address | 4327 Us 1 S, St Augustine, FL 32086-7278 |
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