Raytown PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

RAYTOWN PLLC

Practice address

1762 State Hwy 48 a
Clarksville, TN 37040-3704

Phone

(931) 645-8000

NPI assigned

Mar 25, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Phillip Martin Ray Jr., DMDNPI 1437720190

Title

Owner

Phone

(678) 995-2281

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Phillip Martin Ray Jr., DMD

  • Dentist
  • Fort Campbell, KY
  • NPI 1437720190

  General Practice

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1774396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774396800000",
    "number": "1568301687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "874 GLENRAVEN DR",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370438279",
            "telephone_number": "678-995-2281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1762 STATE HWY 48 A",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370403704",
            "telephone_number": "931-645-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYTOWN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-25",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-20",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-995-2281",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phalecian Rawlins, CSW
• Lauren Leigh Ray, DPT, ATC, NASM-PES
• Marivelle C Ray, RBT
• Rachelle C Ray, M.S.
• Kelli Edwards Rayford
• Alyssa Nicole Reaume, LPC-MHSP (T)
• Rebecca G. Townsend
• Julianne Cameron Villa Reccion
• Keisha Dominique Villa Reccion
• Norgel Reccion

• General Practice Dentistry in Clarksville, TN
• Providers in Clarksville, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.