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DR. RYAN JASON CARLEY D.M.D. NPI 1548561624


NPI Information

NPI: 1548561624
Provider Name: DR. RYAN JASON CARLEY, D.M.D.
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

Address:
1521 W REYNOLDS ST
PONTIAC, IL
ZIP 61764
Phone: (815) 844-5200
Get Directions

DR. Ryan Jason Carley, D.M.D. is a general practice dentist in Pontiac, IL. The provider is 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. DR. Ryan Jason Carley, D.M.D. NPI is 1548561624. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1521 W REYNOLDS ST
PONTIAC, IL
ZIP 61764-673
Phone: (815) 844-5200
Fax: (815) 844-3888

The enumeration date for this NPI number is 11/5/2010 and was last updated on 11/5/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice019028354ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.