Individual
RYAN J SMART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2585 23RD AVE S UNIT A, FARGO, ND 58103-6172
(701) 478-4404
(701) 478-4407
Mailing address
10175 GATEWAY BLVD W STE 304, EL PASO, TX 79925-7618
(915) 504-6880
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
13411
ND
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
2230
ND
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
13411
ND
Other
Enumeration date
06/19/2007
Last updated
10/27/2021
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