Individual
DR. RYAN NICOLE SMILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1407 W 84TH AVE UNIT B8, DENVER, CO 80260-4753
(720) 214-4746
(720) 214-4745
Mailing address
2221 E BIJOU ST STE 100, COLORADO SPRINGS, CO 80909-8009
(719) 576-8150
(719) 955-3470
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
61451
KS
1223G0001X
General Practice Dentistry
DD3883
NM
1223G0001X
General Practice Dentistry
Primary
DEN.00202077
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201206420A
—
KS
05
—
25959239
—
NM
05
—
82004579
—
CO
Enumeration date
09/13/2013
Last updated
06/13/2019
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