NPI 1346973849

Nicholas Ray, DMD

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Urbana, IL

Practice location

Address: 611 W Park St, Urbana, IL 61801-2529
Phone: (217) 326-1297
Mailing address: 3833 S Bond Ave APT 339, Portland, OR 97239-4739

Registered specialties

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 018002217 (IL)

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Registry record

NPI: 1346973849
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Jul 2022
Record last updated: 3 Jul 2022

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.