Organization
BARRY W RAY DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARRY W RAY DDS (OWNER DENTIST)
(812) 473-1128
Entity
Organization
Contact information
Practice address
2038 LINCOLN AVE, EVANSVILLE, IN 47714
(812) 473-1128
(812) 473-3850
Mailing address
2038 LINCOLN AVE, EVANSVILLE, IN 47714
(812) 473-1128
(812) 473-3850
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100246360A
—
IN
Enumeration date
11/30/2006
Last updated
10/20/2008
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