Individual
DR. CHRISTOPHER KEVIN RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4716 W URBANA ST, BROKEN ARROW, OK 74012-6162
(918) 449-5800
(918) 455-8958
Mailing address
4716 W URBANA ST, BROKEN ARROW, OK 74012-6162
(918) 449-5800
(918) 455-8958
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6915
OK
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
0442000293
VA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
0442000293
VA
390200000X
Student in an Organized Health Care Education/Training Program
0442000293
VA
Other
Enumeration date
06/04/2017
Last updated
07/28/2021
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