Jerrold N Raab DDS PC
Organization Active NPI General Practice Dentistry · Monterry, MA
NPI 1003087784 · NPPES record last updated Mar 20, 2008
Key facts
- NPI
- 1003087784
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 15788 (MA)
- Legal business name
- JERROLD N RAAB DDS PC
- Practice address
- 549 Rte 23
Monterry, MA 01245 - Phone
- (413) 528-6520
- NPI assigned
- Mar 20, 2008
- Organization subpart
- No
Authorized official
- Name
- Dr. Jerrold Nathan Raab, DDS
- Title
- Dentist President
- Phone
- (413) 528-6520
Practitioners 1
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | 15788 | MA | Yes |
Addresses
Primary practice location
549 Rte 23
Monterry, MA 01245
Mailing address
PO Box 522
Rte 23
Monterry, MA 01245
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 20, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.