Provider Demographics
NPI:1700185782
Name:RYAN C FLEMING LLC
Entity Type:Organization
Organization Name:RYAN C FLEMING LLC
Other - Org Name:FLEMING FAMILY DENTISTRY & AESTHETICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:C
Authorized Official - Last Name:FLEMING
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:317-848-1884
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-16
Last Update Date:2011-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty