RYAN DAVID SMITH DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019032265

License Status

ACTIVE

Business

Title

DDS

First Name

RYAN

Middle

DAVID

Last Name

SMITH

Business Name

RYAN DAVID SMITH DDS

Original Issue Date

07/23/2019

Effective Date

09/03/2024

Expiration Date

09/30/2027

City

FORT CAMPBELL

State

Zip

42223

Ever Disciplined

LastModifiedDate

09/03/2024