Wallis, Jon Ryan

Wallis, Jon Ryan is an individual health care provider with primary practice located at 2028 N Trekell Rd Ste 107 , Casa Grande AZ 85122-1326. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Wallis, Jon Ryan can be contacted via phone (520) 876-9955.

Contact Information

Primary practice address
2028 N Trekell Rd Ste 107 Casa Grande AZ 85122-1326
Phone: (520) 876-9955
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X D009781 Arizona

Profile Details

NPI number 1821510728
LBN Legal business name Wallis, Jon Ryan
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2017
Last updated Jul 12th, 2017 - about 8 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.

Request for update

Popular Providers