BRAY, DMD & YOUNG, DMD, PC (NPI# 1134235609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134235609 |
| Entity Type | Organization |
| Organization Name | BRAY, DMD & YOUNG, DMD, PC |
| Practice Address |
2 Lester Ct Statesboro GA 30458-2118 |
| Mailing Address |
715 Northside Dr E Suite 5, Pmb 395 Statesboro GA 30458-4712 |
| Practice Telephone | 9124891386 |
| Practice Fax Number | 9127648533 |
| Mailing Telephone | 9124891386 |
| Mailing Fax Number | 9127648533 |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2007-11-06 |
| Authorized Official Name | DR. CECIL B BRAY III (PRESIDENT) |
| Authorized Official Telephone | 9124891386 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
10099 | GA | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
9793 | GA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00328622B | 05 | |
| GA | 00328314B | 05 |
| Street Address |
2 LESTER CT |
| City | STATESBORO |
| State | GA |
| Zip Code | 30458-2118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043481609 | Sally Young | Dentist | 2 Lester Ct, Statesboro, GA 30458-2118 | 2008-03-21 |
| 1225209877 | Cecil Baxter Bray IIi | Dentist | 2 Lester Ct, Statesboro, GA 30458-2118 | 2008-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639642218 | Youtherapy | Counselor | 430 Northside Dr East, Suite 160 Mb326, Statesboro, GA 30458 | 2019-01-07 |
| 1053891853 | Alexandria Franklin | Specialist/Technologist | 1332 Southern Dr, Statesboro, GA 30458 | 2018-08-21 |
| 1740780006 | Michael Ryan Clark | Pharmacist | 556 Northside Drive, Statesboro, GA 30458 | 2018-02-13 |
| 1689186405 | Chandler James Herman | Specialist/Technologist | 590 Herty Dr., Statesboro, GA 30458 | 2017-11-02 |
| 1477009181 | Mama Doc Pediatrics, LLC | Pediatrics | 400 East Grady Street, Statesboro, GA 30458 | 2016-09-01 |
| 1053761171 | Rebekah Roessler | Specialist/Technologist | 2687 Akins Blvd, Statesboro, GA 30458 | 2016-06-20 |
| 1427412253 | Refocus Counseling and Consulting Services | Community/Behavioral Health | 4325 Country Club, 4, Statesboro, GA 30458 | 2016-04-07 |
| 1023408523 | Kacy H. Nesmith | Nurse Practitioner | 1098 Bermuda Run, Suite 6, Statesboro, GA 30458 | 2015-02-04 |
| 1760870398 | Jessica Pasternack | Specialist/Technologist | 2687 Akins Boulevard, Statesboro, GA 30458 | 2015-01-06 |
| 1922401629 | Nathan D'amico | Student in an Organized Health Care Education/Training Program | 15 W Grady Street Unit A, Statesboro, GA 30458 | 2014-10-08 |
| Find all providers in zip 30458 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629541016 | Alexander Young Brown IIi | Dentist | 1130 Brampton Ave, Statesboro, GA 30458-0847 | 2019-01-08 |
| 1245784503 | Roderick Rashond Dunham | Dentist | 1076 Northside Dr E, Statesboro, GA 30458-1002 | 2016-08-04 |
| 1003232752 | Dale Cyril Madson | Dentist | 1046 Northside Dr East, Statesboro, GA 30458 | 2014-03-05 |
| 1548505126 | Howard Family Dental - Statesboro, LLC | Dentist | 356 Northside Dr E, Statesboro, GA 30458-4839 | 2012-12-07 |
| 1558562074 | Family Practice Dental Care of Statesboro | Dentist | 1046 Northside Dr E, Statesboro, GA 30458-1002 | 2007-05-31 |
| 1053442608 | Les J. Kicklighter, D.m.d., P.C. | Dentist | 512 Gentilly Rd, Statesboro, GA 30458-5149 | 2007-03-07 |
| 1366580938 | Richard F Marz | Dentist | 915 E Inman St, Statesboro, GA 30458-5124 | 2007-02-03 |
| 1952490989 | Jason Reid Mcgibony | Dentist | 378 Savannah Ave, Statesboro, GA 30458-5163 | 2006-10-11 |
| 1861583148 | Thomas Dental Center | Dentist | 219 Savannah Ave, Statesboro, GA 30458-2001 | 2006-09-28 |
| 1023119815 | Williams C Finley Jr. | Dentist | 225 S Zetterower Ave, Statesboro, GA 30458-4823 | 2006-09-26 |
| Find all providers in STATESBORO | ||||
| City | STATESBORO |
| Zip Code | 30458 |
Please comment or provide details below to improve the information on BRAY, DMD & YOUNG, DMD, PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.