Ryan R Davis, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

DN013882 Issued in GA

Practice address

120 Ryan Davis CT
Bonaire, GA 31005-1104

Phone

(478) 922-5882

Fax

(478) 922-5910

NPI assigned

Jul 7, 2009

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Davis Dental Care LLC

  • Dentist
  • Macon, GA
  • NPI 1710442561
  NPD Authorized official
• Davis Dental Care LLC

  • Dentist
  • Bonaire, GA
  • NPI 1942765243
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1246924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743724800000",
    "number": "1639308133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 RYAN DAVIS CT",
            "city": "BONAIRE",
            "state": "GA",
            "postal_code": "310051104",
            "telephone_number": "478-922-5882",
            "fax_number": "478-922-5910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 RYAN DAVIS CT",
            "city": "BONAIRE",
            "state": "GA",
            "postal_code": "310051104",
            "telephone_number": "478-922-5882",
            "fax_number": "478-922-5910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "RYAN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-07",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN013882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Coley, LMT, CD, CPD, CBC
• Karena Collins, NP
• Bonnie Shirrell Crutchfield, RN
• Anh Dang, DMD
• Davis Dental Care LLC
• Lana Alden Dellinger, DPT
• Kimberly Denson, LCSW
• Double Therapy, LLC
• Linda Dyer, RPH
• Chukwuemeka J Ezuruonye, RN

• Dentist in Bonaire, GA
• Providers in Bonaire, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.