Provider Demographics
NPI:1578780029
Name:RAY ORTHODONITCS INC
Entity Type:Organization
Organization Name:RAY ORTHODONITCS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DDS, MS
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:A,
Authorized Official - Last Name:RAY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, MS
Authorized Official - Phone:614-882-1185
Mailing Address - Street 1:683 COOPER ROAD
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43081-8962
Mailing Address - Country:US
Mailing Address - Phone:614-882-1185
Mailing Address - Fax:614-882-0621
Practice Address - Street 1:683 COOPER ROAD
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43081-8962
Practice Address - Country:US
Practice Address - Phone:614-882-1185
Practice Address - Fax:614-882-0621
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH300174071223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty