Andy Raban, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2901601766 Issued in MI

Practice address

3307 Rochester Rd
Royal Oak, MI 48073-2850

Phone

(248) 307-7434

NPI assigned

May 9, 2023

Sex

Male

Sole proprietor

Yes

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

State licenses

Networks

• Freedom Health HMO Network

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

{
    "created_epoch": "1683590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684886400000",
    "number": "1407546013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36252 WAYNE DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483122961",
            "telephone_number": "586-277-8441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3307 ROCHESTER RD",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480732850",
            "telephone_number": "248-307-7434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RABAN",
        "first_name": "ANDY",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-09",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901601766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Quinlan, DNP, FNP
• Ashley Quinn, LLMSW
• Monica Quintana, DNP, RN, AGACNP-BC
• Elisa Quiroz, M.D.
• R Hanna, MD, PLLC
• Yolonda Rabbani
• Melissa Rabideau, PT
• Rachel C. Woll, D.D.S., P.C.
• D Robert Racine, MSW
• Tracey Raco, NP-C

• Dentist in Royal Oak, MI
• Providers in Royal Oak, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.