Provider Demographics
NPI:1699967968
Name:H. RAY DUNCAN, DDS, PC
Entity type:Organization
Organization Name:H. RAY DUNCAN, DDS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORTHODONTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:H.
Authorized Official - Middle Name:R
Authorized Official - Last Name:DUNCAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:606-225-5761
Mailing Address - Street 1:2319 6TH AVE SE
Mailing Address - Street 2:
Mailing Address - City:ABERDEEN
Mailing Address - State:SD
Mailing Address - Zip Code:57401-5119
Mailing Address - Country:US
Mailing Address - Phone:605-225-5761
Mailing Address - Fax:605-225-3296
Practice Address - Street 1:2319 6TH AVE SE
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:SD
Practice Address - Zip Code:57401-5119
Practice Address - Country:US
Practice Address - Phone:605-225-5761
Practice Address - Fax:605-225-3296
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-10
Last Update Date:2007-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDM3541223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty