Individual provider · Type 1 NPI

Jennifer Ryan, DMD

Student in an Organized Health Care Education/Training Program · Dallas, TX

NPI number 1336677293 Active

Practice location

3302 Gaston Ave
Dallas, TX 75246-2013

Mailing address

2801 Live Oak St Apt 6106
Dallas, TX 75204-5738

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400XDN015322 (GA)
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 1336677293

Jennifer Ryan, DMD's National Provider Identifier is 1336677293, issued on May 23, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Dallas, TX. The record was last updated on May 23, 2017.