Robert Charles Raffetto, M.S., D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI01631400 Issued in NJ

Practice address

Dental Dept, BLDG 39, Naval Health Care Facility
Naval Air Engineering Station
Lakehurst, NJ 08733

Phone

(732) 323-2046

Fax

(732) 323-7100

NPI assigned

Sep 16, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1126828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013902915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 MAIN ST",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087362933",
            "telephone_number": "732-323-2046",
            "fax_number": "732-323-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DENTAL DEPT, BLDG 39, NAVAL HEALTH CARE FACILITY",
            "address_2": "NAVAL AIR ENGINEERING STATION",
            "city": "LAKEHURST",
            "state": "NJ",
            "postal_code": "08733",
            "telephone_number": "732-323-2046",
            "fax_number": "732-323-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAFFETTO",
        "first_name": "ROBERT",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "M.S., D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI01631400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Lakehurst, NJ
• Providers in Lakehurst, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.