Ray, Leonard G

Ray, Leonard G is an individual health care provider with primary practice located at 776 S Main St , Ashland City TN 37015-1405. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Ray, Leonard G can be contacted via phone (615) 792-4238.

Contact Information

Primary practice address
776 S Main St Ashland City TN 37015-1405
Phone: (615) 792-4238
Fax: (615) 792-1895
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DS0000003502 Tennessee

Profile Details

NPI number 1285617548
LBN Legal business name Ray, Leonard G
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2005
Last updated Sep 29th, 2016 - about 9 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 1285617548 NPPES
Tennessee MEDICAID 3223927
Tennessee Other 0032220
Tennessee Other 630215

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