Individual
DR. RYAN DALE SWISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
320 W HOSPITAL RD, FORT GORDON, GA 30905-5741
(706) 787-8105
Mailing address
1142 BRIGHTON DR, EVANS, GA 30809-8265
(714) 904-9136
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
7750
AZ
1223E0200X
Endodontics
Primary
10470
SC
1223G0001X
General Practice Dentistry
D07750
AZ
Other
Enumeration date
08/27/2009
Last updated
06/09/2023
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