Provider Demographics
NPI:1376101535
Name:LUTHER, RYANN (DDS)
Entity Type:Individual
Prefix:DR
First Name:RYANN
Middle Name:
Last Name:LUTHER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:RYANN
Other - Middle Name:
Other - Last Name:SYPNIEWSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1540 ROCK SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:TN
Mailing Address - Zip Code:37167-6141
Mailing Address - Country:US
Mailing Address - Phone:615-930-3718
Mailing Address - Fax:615-625-3473
Practice Address - Street 1:1540 ROCK SPRINGS RD
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:TN
Practice Address - Zip Code:37167-6141
Practice Address - Country:US
Practice Address - Phone:615-220-6161
Practice Address - Fax:615-220-6161
Is Sole Proprietor?:No
Enumeration Date:2019-06-03
Last Update Date:2021-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY390200000X
TN114881223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program