Individual
DR. RYAN SEMENSOHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD, DO
Contact information
Practice address
705 TOWN BLVD NE STE Q360, BROOKHAVEN, GA 30319-7206
(770) 799-6028
Mailing address
705 TOWN BLVD NE STE Q360, BROOKHAVEN, GA 30319-7206
(770) 799-6028
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DN123754
GA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN23109
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/18/2017
Last updated
10/21/2025
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