Provider Demographics
NPI:1902440639
Name:J ALAN RAY, DDS-PA
Entity Type:Organization
Organization Name:J ALAN RAY, DDS-PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE ADMIN
Authorized Official - Prefix:MRS
Authorized Official - First Name:COURTNEY
Authorized Official - Middle Name:GREENE
Authorized Official - Last Name:BUCHANAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-682-2979
Mailing Address - Street 1:P.O. 158
Mailing Address - Street 2:
Mailing Address - City:BURNSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28714
Mailing Address - Country:US
Mailing Address - Phone:828-682-2979
Mailing Address - Fax:828-682-2988
Practice Address - Street 1:131 EAST MAIN COURT, SUITE A
Practice Address - Street 2:
Practice Address - City:BURNSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28714-2871
Practice Address - Country:US
Practice Address - Phone:828-682-2979
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-06
Last Update Date:2019-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty