Provider Demographics
NPI:1558061788
Name:ORR, BAILEY RAYE (DDS)
Entity type:Individual
Prefix:
First Name:BAILEY
Middle Name:RAYE
Last Name:ORR
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:BAILEY
Other - Middle Name:RAYE
Other - Last Name:MEYER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10235 WAVERUNNER
Mailing Address - Street 2:
Mailing Address - City:CONVERSE
Mailing Address - State:TX
Mailing Address - Zip Code:78109-4414
Mailing Address - Country:US
Mailing Address - Phone:719-200-6170
Mailing Address - Fax:
Practice Address - Street 1:113 RODEO WAY STE 100
Practice Address - Street 2:
Practice Address - City:CIBOLO
Practice Address - State:TX
Practice Address - Zip Code:78108-3979
Practice Address - Country:US
Practice Address - Phone:719-200-6170
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-07
Last Update Date:2024-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX40607122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist