Provider Demographics
NPI:1265523146
Name:OPRAY, JOSEPH D (DMD,PC)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:D
Last Name:OPRAY
Suffix:
Gender:M
Credentials:DMD,PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11100 NE COXLEY DR
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98662-6193
Mailing Address - Country:US
Mailing Address - Phone:360-254-9700
Mailing Address - Fax:360-254-5580
Practice Address - Street 1:11100 NE COXLEY DR
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98662-6193
Practice Address - Country:US
Practice Address - Phone:360-254-9700
Practice Address - Fax:360-254-5580
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA55281223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice