Healthcare Provider Details

I. General information

NPI: 1578754891
Provider Name (Legal Business Name): FRANCES MARY KRAY DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/05/2007
Last Update Date: 08/05/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2505A EVELYN BYRD AVE
HARRISONBURG VA
22801-3493
US

IV. Provider business mailing address

2505A EVELYN BYRD AVE
HARRISONBURG VA
22801-3493
US

V. Phone/Fax

Practice location:
  • Phone: 540-433-8814
  • Fax: 540-433-7110
Mailing address:
  • Phone: 540-433-8814
  • Fax: 540-433-7110

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number0401005131
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: