Provider Demographics
NPI:1104131838
Name:MAY, MARSHALL RAY (DDS)
Entity type:Individual
Prefix:DR
First Name:MARSHALL
Middle Name:RAY
Last Name:MAY
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 1:1303 W DUVAL ST
Mailing Address - Street 2:
Mailing Address - City:TROUP
Mailing Address - State:TX
Mailing Address - Zip Code:75789-1509
Mailing Address - Country:US
Mailing Address - Phone:903-842-4600
Mailing Address - Fax:903-842-2200
Practice Address - Street 1:1303 W DUVAL ST
Practice Address - Street 2:
Practice Address - City:TROUP
Practice Address - State:TX
Practice Address - Zip Code:75789-1509
Practice Address - Country:US
Practice Address - Phone:903-842-4600
Practice Address - Fax:903-842-2200
Is Sole Proprietor?:No
Enumeration Date:2010-08-18
Last Update Date:2023-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX25796122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist