Individual
RYAN ALEXANDER GREENWAY
Active
Individual
RYAN ALEXANDER GREENWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
2022018759
MO
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D-00161
KY
390200000X
Student in an Organized Health Care Education/Training Program
2022018759
MO
Other
Enumeration date
06/07/2022
Last updated
08/28/2026
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