Larry R Ratz, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

015740 Issued in MI

Practice address

4450 W. Walton Blvd
Waterford, MI 48329

Phone

(248) 674-0495

Fax

(810) 695-8222

NPI assigned

May 18, 2007

Last updated

Feb 9, 2023By the provider in NPPES

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)

Enrolled

State licenses

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675900800000",
    "number": "1245448612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4450 W. WALTON BLVD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "48329",
            "telephone_number": "248-674-0495",
            "fax_number": "810-695-8222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4450 W. WALTON BLVD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "48329",
            "telephone_number": "248-674-0495",
            "fax_number": "810-695-8222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATZ",
        "first_name": "LARRY",
        "middle_name": "R",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-18",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "015740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Waterford, MI
• Providers in Waterford, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2023; 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.