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
2	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry

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	:	1366560443
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LARRY J. MORAY DDS, MS, PA

Provider Business Mailing Address
First Line	:	1717 LEGION RD
Second Line	:	SUITE 203
City	:	CHAPEL HILL
State	:	NC
Zip	:	27517-2396
Country	:	US
Telephone Number	:	919-240-7280
Fax Number	:	919-240-7316

Provider Business Practice Location Address
First Line	:	2501 ATRIUM DR STE 301
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27607-6452
Country	:	US
Telephone Number	:	919-782-9588
Fax Number	:	919-782-9651

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. LARRY J MORAY
Credential	:	DDS, MS, PA
Telephone Number	:	919-240-7280

Provider Enumeration Date	:	03/27/2007
Last Update Date	:	06/23/2021

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