Active NPI
Robert F Rafoth, D.D.S.
- Oral and Maxillofacial Surgery (Dentist)
- Augusta, GA
National Provider Identifier
1659567121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- GA008215
- Practice address
- 3634 Wheeler Rd
Augusta, GA 30909-6518 - Phone
- (706) 860-8228
- Fax
- (706) 860-7222
- NPI assigned
- Sep 19, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | GA008215 | GA | Primary |
Addresses
Primary practice location
3634 Wheeler Rd
Augusta, GA 30909-6518
Mailing address
3634 Wheeler Rd
Augusta, GA 30909-6518
Phone (706) 860-8228
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| GA008215 | GA | MD | Oral and Maxillofacial Surgery (Dentist) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190160000000",
"number": "1659567121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3634 WHEELER RD",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309096518",
"telephone_number": "706-860-8228",
"fax_number": "706-860-7222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3634 WHEELER RD",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309096518",
"telephone_number": "706-860-8228",
"fax_number": "706-860-7222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAFOTH",
"first_name": "ROBERT",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-09-19",
"last_updated": "2007-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "GA",
"license": "GA008215",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.