Shane Ryan

NPI 1750798096 · on the registry since 2014 · sole proprietor

Practice

Address: 2817 Reilly St
Fort Bragg, NC 28310
Phone: (734) 395-3145
Organisation at this address: Usa Dentac
Usa Dentac Hqs
Amc Womack-Ft Bragg
Womack Army Medical Center
Womack Army Medical Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 179

Registry record

Primary taxonomy: 2255A2300X
2255A2300X
Licence states on file: NC
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2025-12-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina