Ryan Anthony Smith, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN123593 Issued in GA

Practice address

3755 Sixes Rd Ste 200
Canton, GA 30114-7847

Phone

(770) 905-0300

NPI assigned

Sep 19, 2024

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

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

{
    "created_epoch": "1726704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1962239129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 LONG BRANCH DR NE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300662469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3755 SIXES RD STE 200",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301147847",
            "telephone_number": "770-905-0300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2323 Shallowford Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300662000",
            "country_code": "US",
            "telephone_number": "770-905-0300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "RYAN",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-19",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN123593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kindred Elizabeth Smith, LPC
• Kirby Caroline Smith, MT-BC
• Maggie C Smith, FNP-C
• Megan Henry Smith, D.M.D
• Nathan Smith
• Stephanie Brianna Smith, MS, LPC, CCTP, NCC
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• Dentist in Canton, GA
• Providers in Canton, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; 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.