NPI 1386963718

Melissa Mae Moutray, MDDDS

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Garden City, KS

Practice location

Address: 311 Campus Drive Suite 101, Garden City, KS 67846
Phone: (602) 272-0100
Fax: (620) 271-0160

Registered specialties (2)

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

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 04-41292 (KS)

Other Oral & Maxillofacial Surgery providers in Kansas →

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

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence D1107 (SD)

Registry record

NPI: 1386963718
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 May 2010
Record last updated: 15 Jul 2021

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.