| 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 |