Individual
RYAN H PEACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2865 RING RD, SUITE 100, ELIZABETHTOWN, KY 42701-9114
(270) 765-7212
(270) 769-3797
Mailing address
2865 RING RD, SUITE 100, ELIZABETHTOWN, KY 42701-9114
(270) 765-7212
(270) 769-3797
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9337
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/29/2013
Last updated
01/26/2017
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