Individual
DR. RYAN MICHAEL MAGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1109 N FANT ST, ANDERSON, SC 29621-4819
(864) 225-1994
Mailing address
3551B HIGHWAY 51, FORT MILL, SC 29715-8350
(803) 792-4277
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
3826
SC
1223G0001X
General Practice Dentistry
Primary
3826
SC
1223P0221X
Pediatric Dentistry
3826
SC
Other
Enumeration date
07/20/2006
Last updated
03/21/2020
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