MEDICARE: LARRY J MORAY DDS, MS, PA

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	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	5934	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1306056049
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LARRY J MORAY DDS, MS, PA

Provider Business Mailing Address
First Line	:	5011 SOUTHPARK DR STE 220
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27713-7738
Country	:	US
Telephone Number	:	919-240-7280
Fax Number	:	919-240-7316

Provider Business Practice Location Address
First Line	:	501 EASTOWNE DR STE 230
Second Line	:
City	:	CHAPEL HILL
State	:	NC
Zip	:	27514-6224
Country	:	US
Telephone Number	:	919-928-0105
Fax Number	:	919-928-0630

Authorized Official
Title or Position	:	OWNER
Name	:	LARRY JOEL MORAY
Credential	:	DDS, MS, PA
Telephone Number	:	919-240-7280

Provider Enumeration Date	:	05/23/2007
Last Update Date	:	03/15/2023

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