Provider Demographics
NPI:1407971724
Name:G. RAY HAMBY, D.D.S., M.S.D., INC.
Entity Type:Organization
Organization Name:G. RAY HAMBY, D.D.S., M.S.D., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:R
Authorized Official - Last Name:HAMBY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:972-235-8666
Mailing Address - Street 1:100 N CENTRAL EXPY
Mailing Address - Street 2:SUITE 1108
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080-5332
Mailing Address - Country:US
Mailing Address - Phone:972-235-8666
Mailing Address - Fax:972-235-2916
Practice Address - Street 1:100 N CENTRAL EXPY
Practice Address - Street 2:SUITE 1108
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-5332
Practice Address - Country:US
Practice Address - Phone:972-235-8666
Practice Address - Fax:972-235-2916
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX89511223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty