IndividualActive
Nicholas Ray, DMD
NPI 1346973849 · Oral & Maxillofacial Surgery (D.M.D.) · Urbana, IL
Provider details
- NPI number
- 1346973849
- Entity type
- Individual
- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)Allopathic & Osteopathic Physicians
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 018002217 (IL)
Mailing address
3833 S Bond Ave Apt 339
Portland, OR 97239-4739
Registry dates
- Enumerated
- 2022-07-03
- Last updated
- 2022-07-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.