National Provider Identifier Database

RYAN C JAY, DDS – NPI #1003861287
General Practice

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.


Contact Information

RYAN C JAY, DDS
12110 PENDLETON PIKE
INDIANAPOLIS, IN46236
Phone: 317-826-1050
Fax: 317-826-1065
Website:
Specialty Taxonomy Code
* General Practice 1223G0001X

* Indicates primary specialty

NPI Profile & details for RYAN C JAY

NPI Number 1003861287
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 05/24/2006
Last updated 03/02/2011 - About 15 years ago
Sole proprietor1 Yes
Identifiers
  • IN License #: 12010606A
  • IN Medicaid: 100071480A
  • IN Medicaid: 200460270A
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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