Provider Demographics
NPI:1467644179
Name:FLEMING, RYAN C (DDS)
Entity Type:Individual
Prefix:
First Name:RYAN
Middle Name:C
Last Name:FLEMING
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4728 LIMERICK DR STE B
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46033-3402
Mailing Address - Country:US
Mailing Address - Phone:317-848-1884
Mailing Address - Fax:317-848-2488
Practice Address - Street 1:4728 LIMERICK DR STE B
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46033-3402
Practice Address - Country:US
Practice Address - Phone:317-848-1884
Practice Address - Fax:317-848-2488
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-16
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12010656A122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist