Healthcare Provider Details

I. General information

NPI: 1558278820
Provider Name (Legal Business Name): LAPRAY ORTHODONTICS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2515 S RIVER RD STE F
ST GEORGE UT
84790-8910
US

IV. Provider business mailing address

2515 S RIVER RD STE F
ST GEORGE UT
84790-8910
US

V. Phone/Fax

Practice location:
  • Phone: 435-767-1815
  • Fax:
Mailing address:
  • Phone: 435-767-1815
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. ANDREW LAPRAY
Title or Position: ORTHODONTIST
Credential: DMD
Phone: 208-206-5703