Wray, Roger Dale
Wray, Roger Dale is an individual health care provider with primary practice located at 210 E 7Th St , Apopka FL 32703-3208. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Wray, Roger Dale can be contacted via phone (407) 905-8827.Contact Information
Primary practice address
210 E 7Th St
Apopka FL 32703-3208
Phone: (407) 905-8827
Fax: (407) 880-2138
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | DN18247 | Florida |
Profile Details
| NPI number | 1528026630 |
|---|---|
| LBN Legal business name | Wray, Roger Dale |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 1st, 2006 |
| Last updated | Mar 7th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528026630 | NPPES |
| Florida | MEDICAID | 075767500 |
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