Georges Raffoul, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

22235 Issued in FL

Practice address

14945 Bruce B Downs Blvd
Tampa, FL 33613-2860

Phone

(813) 333-1922

NPI assigned

Aug 30, 2016

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

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• RR Dentistry Trinity, PLLC

  • General Practice Dentistry
  • Odessa, FL
  • NPI 1801740162
  NPD (past)
• RRR Dentistry, PLLC

  • General Practice Dentistry
  • Riverview, FL
  • NPI 1194679423
  NPD (past)
• Tampa Palms Dentistry, PLLC

  • General Practice Dentistry
  • Tampa, FL
  • NPI 1811841174
  NPD (past)

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

{
    "created_epoch": "1472515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664496000000",
    "number": "1023564903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14945 BRUCE B DOWNS BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336132860",
            "telephone_number": "813-333-1922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14945 BRUCE B DOWNS BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336132860",
            "telephone_number": "813-333-1922"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "787 W Lumsden Rd",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "FL",
            "postal_code": "335116261",
            "country_code": "US",
            "telephone_number": "813-684-7888",
            "fax_number": "813-684-4568",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13254 State Road 54",
            "address_purpose": "LOCATION",
            "city": "Odessa",
            "state": "FL",
            "postal_code": "335563483",
            "country_code": "US",
            "telephone_number": "727-378-9878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAFFOUL",
        "first_name": "GEORGES",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-30",
        "last_updated": "2022-09-30",
        "certification_date": "2022-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "22235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raisa I Rafalovich, ARNP
• Ramish Hussain Rafay, MD
• Kelly Lynn Raff-Anunciato, D.O.
• Jose A Raffinan Jr.
• Stacy Raffington
• Rebecca Raffoul, PA-C
• Siamak Rafieian, DDS
• Pierre Rafla
• Rag Medical Clinic LLC
• Diane Raggard Wright

• Dentist in Tampa, FL
• Providers in Tampa, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.