NPI 1023040789
Jason R. Ray, DDS
Practice location
- Address
- 698 E 1st St, Thibodaux, LA 70301-3546
- Phone
- (985) 446-8037
- Fax
- (985) 447-4648
Registered specialties
General Practice Dentistry
Primary
Registry record
- NPI
- 1023040789
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 6 Jul 2006
- Record last updated
- 8 Jul 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.