Provider Demographics
NPI:1609979913
Name:RAY, MATTHEW HALL (DDS)
Entity Type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:HALL
Last Name:RAY
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:PO BOX 8339
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28814-8339
Mailing Address - Country:US
Mailing Address - Phone:828-275-6708
Mailing Address - Fax:828-298-9908
Practice Address - Street 1:1445 TUNNEL RD
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28805-2803
Practice Address - Country:US
Practice Address - Phone:828-298-9928
Practice Address - Fax:828-298-9908
Is Sole Proprietor?:No
Enumeration Date:2006-09-06
Last Update Date:2010-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC70191223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice