Raines Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI02500500 Issued in NJ

Legal business name

RAINES DENTAL LLC

Practice address

4 Burton LN
Suite 200
Mullica Hill, NJ 08062-9422

Phone

(908) 770-1506

NPI assigned

Jul 6, 2015

Organization subpart

No

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

Authorized official

Name

Jason Raines

Title

Owner

Phone

(908) 770-1506

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1436140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436140800000",
    "number": "1376926618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1328 GREENE LN",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080031146",
            "telephone_number": "908-770-1506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 BURTON LN",
            "address_2": "SUITE 200",
            "city": "MULLICA HILL",
            "state": "NJ",
            "postal_code": "080629422",
            "telephone_number": "908-770-1506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAINES DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-06",
        "last_updated": "2015-07-06",
        "status": "A",
        "authorized_official_last_name": "RAINES",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-770-1506"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02500500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Propert, RBT
• Austin Thomas Pustizzi, PHARMD
• Anum Asim Qamar
• Raccoon Valley Animal Hospital
• Asif Rahman, DO
• Jason S Raines, DDS
• Shyam Raja, MD
• Omair Ahmed Rajput, MD
• Bharath Ramini, MD
• Rachel Reese

• General Practice Dentistry in Mullica Hill, NJ
• Providers in Mullica Hill, 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 6, 2015; 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.