J. Brett Ryan Dmd, Pc | |
93 Montcalm St Lake George NY 12845-1317 | |
(518) 668-5457 | |
Not Available |
Full Name | J. Brett Ryan Dmd, Pc |
---|---|
Speciality | Dentist |
Location | 93 Montcalm St, Lake George, New York |
Authorized Official Name and Position | Joseph Brett Ryan (OWNER) |
Authorized Official Contact | 5186685457 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
J. Brett Ryan Dmd, Pc 93 Montcalm St Lake George NY 12845-1317 Ph: (518) 668-5457 | J. Brett Ryan Dmd, Pc 93 Montcalm St Lake George NY 12845-1317 Ph: (518) 668-5457 |
NPI Number | 1346602661 |
---|---|
Provider Enumeration Date | 03/25/2016 |
Last Update Date | 03/25/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346602661 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 057268 (New York) | Primary |
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