MEDICARE: DR. PETER E RAY D.M.D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	7024	AZ

General Provider Information

NPI Number	:	1598872970
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PETER E RAY D.M.D

Provider Business Mailing Address
First Line	:	5039 S 158TH ST
Second Line	:
City	:	GILBERT
State	:	AZ
Zip	:	85298-6148
Country	:	US
Telephone Number	:	480-200-0476
Fax Number	:

Provider Business Practice Location Address
First Line	:	3180 N ALMA SCHOOL RD STE 3
Second Line	:
City	:	CHANDLER
State	:	AZ
Zip	:	85224-1435
Country	:	US
Telephone Number	:	480-456-0766
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/23/2006
Last Update Date	:	12/16/2025

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