Ryan Campbell Jay in Indianapolis - General Practice
Ryan Campbell Jay - NPI 1003861287
Ryan Campbell Jay is a General Practice in Indianapolis, Indiana. Ryan Campbell Jay practices all healthcare services and medical treatments related to General Practice. The NPI Number for Ryan Campbell Jay is 1003861287. The last update date is 2011-03-02.
Ryan Campbell Jay's current location address is 12110 Pendleton Pike, Indianapolis, Indiana. You can contact this provider via phone number 3178261050 and fax number 3178261065. The mailing address for Ryan Campbell Jay is 12110 Pendleton Pike, Indianapolis, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ryan Campbell Jay |
|---|---|
| Address | 12110 Pendleton Pike, Indianapolis, Indiana |
| Phone Number | 3178261050 |
| Fax Number | 3178261065 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1003861287 |
|---|---|
| Provider Enumeration Date | 2006-05-24 |
| Last Updated Date | 2011-03-02 |
Provider Mailing Address Detail
| Address | 12110 Pendleton Pike |
|---|---|
| City | Indianapolis |
| State | Indiana (IN) |
| Post Code | 46236 |
| Phone Number | 3178261050 |
| Fax Number | 3178261065 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 12010606A |
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Definition: 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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200460270A | IN | -- | |
| 100071480A | IN | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Ryan Campbell Jay by the Centers for Medicare & Medicaid Services?
The Ryan Campbell Jay has been issued the NPI (National Provider Identifier) 1003861287 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Ryan Campbell Jay?
The Ryan Campbell Jay is situated at 12110 Pendleton Pike, in the city of Indianapolis, state of IN, with the zip code 46236.
What is the Ryan Campbell Jay's specialty and taxonomy code?
The Ryan Campbell Jay's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.
On what date did the Ryan Campbell Jay receive its 1003861287 assignment from the Centers for Medicare & Medicaid Services?
The Ryan Campbell Jay was assigned its 1003861287 by the Centers for Medicare & Medicaid Services on 2006-05-24.
When was the information related to Ryan Campbell Jay most recently updated or refreshed?
The details pertaining to the Ryan Campbell Jay, including its address, specialty, and other relevant information, were last updated or refreshed on 2011-03-02.
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