Individual
DR. JASON R. RAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
698 E 1ST ST, THIBODAUX, LA 70301-3546
(985) 446-8037
(985) 447-4648
Mailing address
698 E 1ST ST, THIBODAUX, LA 70301-3546
(985) 446-8037
(985) 447-4648
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4305
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
847061
US GOV UNITED CONCORDIA
LA
01
—
A2078
BLUE CROSS BLUE SHIELD
LA
Enumeration date
07/06/2006
Last updated
07/08/2007
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