Ray, Brian D

Ray, Brian D is an individual health care provider with primary practice located at 1256 Boiling Springs Rd , Spartanburg SC 29303. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Ray, Brian D can be contacted via phone (864) 582-6306.

Contact Information

Primary practice address
1256 Boiling Springs Rd Spartanburg SC 29303
Phone: (864) 582-6306
Fax: (864) 585-9593
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X SC3643 South Carolina

Profile Details

NPI number 1710040043
LBN Legal business name Ray, Brian D
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710040043 NPPES
South Carolina MEDICAID ZX3643

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