Individual
DR. RYAN RICHARDSON SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
210 VILLAGE CENTER BLVD, SUITE 130, MYRTLE BEACH, SC 29579-6706
(843) 236-7500
(843) 236-7550
Mailing address
210 VILLAGE CENTER BLVD, SUITE 130, MYRTLE BEACH, SC 29579-6706
(843) 236-7500
(843) 236-7550
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DGD.7093 GD
SC
1223P0221X
Pediatric Dentistry
Primary
791 PD
SC
Other
Enumeration date
03/13/2012
Last updated
07/17/2013
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