Individual
THOMAS RYAN SHEALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4323 CHAMPION HILL ST, COLUMBIA, SC 29207-6022
(803) 751-0677
Mailing address
4323 HILL ST, FORT JACKSON, SC 29207
(803) 751-6209
(803) 751-6886
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
32677
TX
171000000X
Military Health Care Provider
Primary
32677
TX
Other
Enumeration date
09/01/2016
Last updated
10/07/2025
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