Provider Demographics
NPI:1437207172
Name:J H MARTY RYU DDS, INC.
Entity Type:Organization
Organization Name:J H MARTY RYU DDS, INC.
Other - Org Name:HURON FAMILY DENTAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JUNG-HUN
Authorized Official - Middle Name:MARTY
Authorized Official - Last Name:RYU
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:419-433-7311
Mailing Address - Street 1:730 CLEVELAND RD W
Mailing Address - Street 2:
Mailing Address - City:HURON
Mailing Address - State:OH
Mailing Address - Zip Code:44839-1546
Mailing Address - Country:US
Mailing Address - Phone:419-433-7311
Mailing Address - Fax:419-433-2471
Practice Address - Street 1:730 CLEVELAND RD W
Practice Address - Street 2:
Practice Address - City:HURON
Practice Address - State:OH
Practice Address - Zip Code:44839-1546
Practice Address - Country:US
Practice Address - Phone:419-433-7311
Practice Address - Fax:419-433-2471
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty