Jackson, T. Ryan

Jackson, T. Ryan is an individual health care provider with primary practice located at 45 N. Madison Ave. , Greenwood IN 46142. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Jackson, T. Ryan can be contacted via phone (317) 887-3180.

Contact Information

Primary practice address
45 N. Madison Ave. Greenwood IN 46142
Phone: (317) 887-3180
Fax: (317) 882-2718
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 12009768 Indiana

Profile Details

NPI number 1558456772
LBN Legal business name Jackson, T. Ryan
Credentials DDS, MSD
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Jul 25th, 2011 - 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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