Dr. Jeron Ryan PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

12037 Issued in MD

Legal business name

DR. JERON RYAN PC

Practice address

3311 Toledo Ter
Suite C-102
Hyattsville, MD 20782-4135

Phone

(301) 559-3668

Fax

(301) 559-0670

NPI assigned

Mar 30, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jeron Skerritt-Ryan

Title

Owner

Phone

(301) 559-3668

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267401600000",
    "number": "1811017874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3311 TOLEDO TER",
            "address_2": "SUITE C-102",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207824135",
            "telephone_number": "301-559-3668",
            "fax_number": "301-559-0670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3311 TOLEDO TER",
            "address_2": "SUITE C-102",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207824135",
            "telephone_number": "301-559-3668",
            "fax_number": "301-559-0670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JERON RYAN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2010-03-01",
        "status": "A",
        "authorized_official_last_name": "SKERRITT-RYAN",
        "authorized_official_first_name": "JERON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-559-3668",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MD",
            "license": "12037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Hyattsville, MD
• Providers in Hyattsville, MD by specialty
• Dental Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.