Thomas Ryan Shealy, DMD
NPI #1104372788 in Columbia, South Carolina
Provider Information
- NPI Number
- 1104372788
- Entity Type
- Individual
- Name
- Thomas Ryan Shealy, DMD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Military Health Care Provider
- Credential
- DMD
- Enumeration Date
- Sep 1, 2016
- Last Updated
- Oct 7, 2025
Practice Location
- Address
- 4323 CHAMPION HILL ST
- City
- Columbia
- State
- South Carolina
- ZIP Code
- 29207-6022
- Phone
- (803) 751-0677
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider |
| Dentist |
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