Provider Demographics
NPI:1124181730
Name:ESKRIDGE, RYAN N (DDS)
Entity type:Individual
Prefix:MR
First Name:RYAN
Middle Name:N
Last Name:ESKRIDGE
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 1:10401 SAWMILL PKWY STE 100
Mailing Address - Street 2:
Mailing Address - City:POWELL
Mailing Address - State:OH
Mailing Address - Zip Code:43065-7451
Mailing Address - Country:US
Mailing Address - Phone:614-792-0063
Mailing Address - Fax:614-792-3376
Practice Address - Street 1:10401 SAWMILL PKWY STE 100
Practice Address - Street 2:
Practice Address - City:POWELL
Practice Address - State:OH
Practice Address - Zip Code:43065-7451
Practice Address - Country:US
Practice Address - Phone:614-792-0063
Practice Address - Fax:614-792-3376
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-18
Last Update Date:2022-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH215801223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice