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Contact Information

RYAN C JAY, DDS
12110 PENDLETON PIKE
INDIANAPOLIS, IN46236
 Phone: 317-826-1050
 Fax: 317-826-1065
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for RYAN C JAY · (Male)

NPI # 1003861287
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 05/24/2006
Last updated 03/02/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • IN License # 12010606A
  • IN Medicaid 100071480A
  • IN Medicaid 200460270A
Hospital affiliation(s) Not Available
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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