Dr Jennifer Ryan, DMD is a
Student In An Organized Health Care Education/training Program based in Dallas, Texas. Dr Jennifer Ryan is licensed to practice in * (Not Available) (license number ) and her current practice location is
3302 Gaston Ave, Dallas, Texas. She can be reached at her office (for appointments etc.) via phone at
(214) 828-8121.
NPI number for Dr Jennifer Ryan is 1336677293 and her current mailing address is 2801 Live Oak St Apt 6106, Dallas, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1336677293.
Healthcare Provider's Profile
| Full Name | Dr Jennifer Ryan |
|---|
| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 3302 Gaston Ave, Dallas, Texas |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1336677293
- Provider Enumeration Date: 05/23/2017
- Last Update Date: 05/23/2017
Medical Identifiers
Medical identifiers for Dr Jennifer Ryan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336677293 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | DN015322 (Georgia) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jennifer Ryan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Jennifer Ryan, DMD
2801 Live Oak St Apt 6106,
Dallas, TX 75204-5738
Ph: (912) 674-1930 | Dr Jennifer Ryan, DMD
3302 Gaston Ave,
Dallas, TX 75246-2013
Ph: (214) 828-8121 |
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