Provider Demographics
NPI:1265457105
Name:CHAFFIN, WRAY WEST II (DMD)
Entity Type:Individual
Prefix:DR
First Name:WRAY
Middle Name:WEST
Last Name:CHAFFIN
Suffix:II
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:116 RAVINE ST
Mailing Address - Street 2:SUITE #102
Mailing Address - City:GATE CITY
Mailing Address - State:VA
Mailing Address - Zip Code:24251-3344
Mailing Address - Country:US
Mailing Address - Phone:276-386-6231
Mailing Address - Fax:276-386-2757
Practice Address - Street 1:116 RAVINE ST
Practice Address - Street 2:SUITE #102
Practice Address - City:GATE CITY
Practice Address - State:VA
Practice Address - Zip Code:24251-3344
Practice Address - Country:US
Practice Address - Phone:276-386-6231
Practice Address - Fax:276-386-2757
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2013-12-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA04010078761223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice