WARREN DENTAL GROUP DAVID M RAIFFE DDS MBA INC NPI 1013250026

NPI Information

NPI: 1013250026
Provider Name: WARREN DENTAL GROUP, DAVID M RAIFFE, DDS, MBA, INC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1019 N PARK AVE
WARREN, OH
ZIP 44483
Phone: (330) 395-3820
Get Directions

WARREN DENTAL GROUP, DAVID M RAIFFE, DDS, MBA, INC is a general practice dentist in Warren, OH. The provider is 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. WARREN DENTAL GROUP, DAVID M RAIFFE, DDS, MBA, INC NPI is 1013250026. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1019 N PARK AVE
WARREN, OH
ZIP 44483-725
Phone: (330) 395-3820

The provider's authorized official is David M Raiffe .
The authorized official title is Owner/dentist and has the following contact phone number (330) 395-3820.

The enumeration date for this NPI number is 3/28/2013 and was last updated on 3/28/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223G0001X	Dentist	General Practice	019625	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0963631	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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