Individual
DR. RYAN DAVID SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
BLDG 2441 21ST ST, FT. CAMPBELL, KY 43332
(270) 798-8751
Mailing address
BLDG D-3836 ARDENNES ROAD, FORT BRAGG, NC 28310-0001
(910) 907-9061
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019.032265
IL
1223E0200X
Endodontics
Primary
12449
TN
Other
Enumeration date
05/07/2019
Last updated
05/20/2024
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