IndividualActive
Michael Ray, DDS
NPI 1104014505 · Dentist · Ingram, TX
Provider details
- NPI number
- 1104014505
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 11678 (TX)
Specialties & taxonomies
Dental Providers
Practice location
3164 Junction Hwy
Suite West-1
Ingram, TX 78025-3131
Phone: (830) 367-1171
Approximate (ZIP-level) locationGet directions
Mailing address
3164 Junction Hwy
Ingram, TX 78025-3131
Registry dates
- Enumerated
- 2007-10-10
- Last updated
- 2009-03-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.