Davis, Ryan James

Davis, Ryan James is an sole proprietor health care provider with primary practice located at 1717 W Candletree Dr Ste A , Peoria IL 61614-1592. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Periodontics. Dental Providers / Periodontics is his primary health care specialty. Davis, Ryan James can be contacted via phone (309) 360-8502.

Contact Information

Primary practice address
1717 W Candletree Dr Ste A Peoria IL 61614-1592
Phone: (309) 360-8502
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 019.027.427 Illinois
Dental Providers / Periodontics 1223P0300X 021.002357 Illinois

Profile Details

NPI number 1396916649
LBN Legal business name Davis, Ryan James
Credentials DMD, MS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 14th, 2008
Last updated Oct 17th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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