Individual provider · Type 1 NPI

Ryan Jeffrey Lark, DDS

Student in an Organized Health Care Education/Training Program · New York, NY

NPI number 1255017463 Active

Practice location

345 E 24th St
New York, NY 10010-4020

Call (212) 998-9800 Map

Mailing address

1400 Pelham Parkway South, Building 4, Room 6S11
Bronx, NY 10461

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1255017463

Ryan Jeffrey Lark, DDS's National Provider Identifier is 1255017463, issued on Jun 22, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in New York, NY. The record was last updated on May 29, 2025.