James J Raynor, DDS
Individual provider Active NPI General Practice Dentistry · Storrs Mansfield, CT
NPI 1669598231 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1669598231
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 4647 (CT)
- Practice address
- 1022 Storrs Rd
Storrs Mansfield, CT 06268-2639 - Phone
- (860) 429-6406
- Fax
- (860) 429-9438
- NPI assigned
- Mar 22, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4647 | CT | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4647 | CT | Yes |
Addresses
Primary practice location
1022 Storrs Rd
Storrs Mansfield, CT 06268-2639
Mailing address
1022 Storrs Rd
Storrs Mansfield, CT 06268-2639
Phone (860) 429-6406
Other providers in Storrs Mansfield, CT
- Jillian Picard-Busky
- Price Chopper Inc
- Ravenswood Psychiatric Services, P.L.L.C.
- Holly Elizabeth Rawson
- Raynor-Cano
- Matthew J Raynor
- Regional School District #19
- Kristine Poet Ridyard
- Tirza Roda
- Ann C. Ryan
All providers in Storrs Mansfield, CT · General Practice Dentistry in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.