Individual
DR. ANDREW TYLER RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2817 ROCK MERRITT AVENUE WOMACK ORAL SURGERY CLINIC, FORT LIBERTY, NC 28310-6015
(910) 907-6974
Mailing address
293 COLONY LN NW, CLEVELAND, TN 37312-7506
(423) 284-0911
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
0000011015
TN
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
0000011015
TN
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
10899
SC
Other
Enumeration date
04/26/2019
Last updated
08/20/2024
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