Provider Demographics
NPI:1437333762
Name:RAYL, JEFFREY MARTIN (DDS)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:MARTIN
Last Name:RAYL
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:858 W. HAPPY CANYON RD.
Mailing Address - Street 2:STE. 135
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80108
Mailing Address - Country:US
Mailing Address - Phone:719-599-3999
Mailing Address - Fax:719-599-4095
Practice Address - Street 1:858 W HAPPY CANYON RD
Practice Address - Street 2:STE. 135
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80108-3912
Practice Address - Country:US
Practice Address - Phone:719-599-3999
Practice Address - Fax:719-599-4095
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-21
Last Update Date:2011-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO63951223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice