Provider Demographics
NPI:1407291685
Name:SMITH, RYAN MCCARTY (DDS)
Entity Type:Individual
Prefix:
First Name:RYAN
Middle Name:MCCARTY
Last Name:SMITH
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5482 MUDDY CREEK RD
Mailing Address - Street 2:
Mailing Address - City:WEST RIVER
Mailing Address - State:MD
Mailing Address - Zip Code:20778-2206
Mailing Address - Country:US
Mailing Address - Phone:410-867-0247
Mailing Address - Fax:
Practice Address - Street 1:5482 MUDDY CREEK RD
Practice Address - Street 2:
Practice Address - City:WEST RIVER
Practice Address - State:MD
Practice Address - Zip Code:20778-2206
Practice Address - Country:US
Practice Address - Phone:410-867-0247
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-01
Last Update Date:2023-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDMD15432122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist