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Individual

RYAN MARTIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
5111 MARYLAND WAY STE 209, BRENTWOOD, TN 37027-7513
(615) 376-8865
Mailing address
2026 CEDARMONT DR, FRANKLIN, TN 37067-4020
(775) 881-8981

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
IN PROCESS
AZ
1223E0200X
Endodontics
Primary
12760
TN
1223E0200X
Endodontics
D11303
OR

Other

Enumeration date
07/16/2015
Last updated
06/04/2025
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