Provider Demographics
NPI:1356547608
Name:RAY, JOSH CRAIG (DMD)
Entity type:Individual
Prefix:
First Name:JOSH
Middle Name:CRAIG
Last Name:RAY
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1256 BOILING SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:SPARTANBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29303-2242
Mailing Address - Country:US
Mailing Address - Phone:864-582-6306
Mailing Address - Fax:864-585-9593
Practice Address - Street 1:1256 BOILING SPRINGS RD
Practice Address - Street 2:
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29303-2242
Practice Address - Country:US
Practice Address - Phone:864-582-6306
Practice Address - Fax:864-585-9593
Is Sole Proprietor?:No
Enumeration Date:2007-06-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCSC4345122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist