Ryan W. Jergensen, Dds, Professional Corporation
LBN: Ryan W. Jergensen, Dds, Professional Corporation
Ryan W. Jergensen, Dds, Professional Corporation is an health care organization with primary practice located at 2243 Mowry Ave Ste B , Fremont CA 94538-1630. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty.
Ryan W. Jergensen, Dds, Professional Corporation can be contacted via phone (510) 797-8991, or through Jergensen, Ryan W. via phone (510) 797-8991.
Contact Information
Primary practice address
2243 Mowry Ave Ste B
Fremont CA 94538-1630
Phone: (510) 797-8991
Fax: (510) 797-8280
Website:
Authorized official contact:
Name: Jergensen, Ryan W. Doctor of Dental Surgery (DDS)
Phone: (510) 797-8991
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 59484 | California |
Profile Details
| NPI number | 1649559758 |
|---|---|
| LBN Legal business name | Ryan W. Jergensen, Dds, Professional Corporation |
| DBA Doing business as | |
| Authorized official | Jergensen, Ryan W. Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 6th, 2011 |
| Last updated | Aug 6th, 2011 - about 13 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649559758 | NPPES |
| California | Other | 1376859124 | PERSONAL/TYPE I NPI |
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