Jack, Ryan Michael

Jack, Ryan Michael is an individual health care provider with primary practice located at 8580 Scarborough Dr #200, Colorado Springs CO 80920-7583. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Jack, Ryan Michael can be contacted via phone (719) 282-6600.

Contact Information

Primary practice address

8580 Scarborough Dr #200 Colorado Springs CO 80920-7583

Phone: (719) 282-6600

Fax:

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Dental Providers / Endodontics	1223E0200X	D-3585	Idaho
Dental Providers / Endodontics	1223E0200X	DN18177	Florida
Dental Providers / Endodontics	1223E0200X	10046	Colorado

Profile Details

NPI number	1538130752
LBN Legal business name	Jack, Ryan Michael
Credentials	D.D.S., M.S.
Entity	Individual
Sole proprietor ¹	No
Enumeration date	Jan 27th, 2006
Last updated	Jun 27th, 2010 - about 14 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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