Provider Demographics
NPI:1700096542
Name:RAY, CATHERINE D (DMD)
Entity Type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:D
Last Name:RAY
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2514 UNIVERSITY DR
Mailing Address - Street 2:SUITE 203
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27707-2156
Mailing Address - Country:US
Mailing Address - Phone:919-489-5380
Mailing Address - Fax:919-489-5380
Practice Address - Street 1:2514 UNIVERSITY DR
Practice Address - Street 2:SUITE 203
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707-2156
Practice Address - Country:US
Practice Address - Phone:919-489-5380
Practice Address - Fax:919-489-5380
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCNC57431223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice