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RYAN T HAJEK DDS PC NPI 1730551268


NPI Information

NPI: 1730551268
Provider Name: RYAN T HAJEK DDS PC

Doing Business As: BAYLISS PARK DENTAL GROUP

Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
114 1/2 S 6TH ST
COUNCIL BLUFFS, IA
ZIP 51501
Phone: (712) 256-5048
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RYAN T HAJEK DDS PC is a pediatric dentistry dentist in Council Bluffs, IA. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. RYAN T HAJEK DDS PC NPI is 1730551268. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Bayliss Park Dental Group.

The provider's business location address is:

114 1/2 S 6TH ST
COUNCIL BLUFFS, IA
ZIP 51501-234
Phone: (712) 256-5048

The provider's authorized official is Ryan Thomas Hajek .
The authorized official title is Owner and has the following contact phone number (605) 354-7077.

The enumeration date for this NPI number is 10/23/2015 and was last updated on 10/23/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223P0221XDentistPediatric Dentistry09125IOWAYes

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: 4/28/2024

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