Dr Ryan David Smith, DDS is a
Dentist - Endodontics based in Ft. Campbell, Kentucky. Dr Ryan David Smith is licensed to practice in Tennessee (license number 12449) and his current practice location is
Bldg 2441 21st St, Ft. Campbell, Kentucky. He can be reached at his office (for appointments etc.) via phone at
(270) 798-8751.
NPI number for Dr Ryan David Smith is 1831754795 and his current mailing address is Bldg D-3836 Ardennes Road, Fort Bragg, North Carolina. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1831754795.
Healthcare Provider's Profile
| Full Name | Dr Ryan David Smith |
|---|
| Gender | Male |
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| Speciality | Dentist - Endodontics |
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| Location | Bldg 2441 21st St, Ft. Campbell, Kentucky |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1831754795
- Provider Enumeration Date: 05/07/2019
- Last Update Date: 05/20/2024
Medical Identifiers
Medical identifiers for Dr Ryan David Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1831754795 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 019.032265 (Illinois) | Secondary |
| 1223E0200X | Dentist - Endodontics | 12449 (Tennessee) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Ryan David Smith is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Ryan David Smith, DDS
Bldg D-3836 Ardennes Road,
Fort Bragg, NC 28310-0001
Ph: (910) 907-9061 | Dr Ryan David Smith, DDS
Bldg 2441 21st St,
Ft. Campbell, KY 43332
Ph: (270) 798-8751 |
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