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NPI Code Detail

MEDICARE: LARRY J. MORAY DDS, MS, PA

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
11223X0400XOrthodontics and Dentofacial Orthopedics Dentistry5934NC
21223X0400XOrthodontics and Dentofacial Orthopedics Dentistry

Other Identifiers

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

General Provider Information

NPI Number : 1699893792
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 : 616 DR CALVIN JONES HWY STE 200
Second Line :
City : WAKE FOREST
State : NC
Zip : 27587-3106
Country : US
Telephone Number : 919-556-1422
Fax Number : 919-556-2455
Authorized Official
Title or Position : OWNER
Name : LAWRENCE JOEL MORAY
Credential : DDS, MS
Telephone Number : 919-240-7280
Provider Enumeration Date : 03/27/2007
Last Update Date : 03/15/2023

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