Bobby L. Raber DMD, PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

BOBBY L. RABER DMD, PLLC

Practice address

2801 N Pleasant View Dr
Prescott Valley, AZ 86314-3551

Phone

(928) 443-1400

Fax

(928) 777-8264

NPI assigned

Jun 16, 2009

Last updated

Jun 16, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marva Cooper, CMPE

Title

Practice Administrator

Phone

(928) 443-1400

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1245110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245110400000",
    "number": "1699902791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 N PLEASANT VIEW DR",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863143551",
            "telephone_number": "928-443-1400",
            "fax_number": "928-777-8264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 N PLEASANT VIEW DR",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863143551",
            "telephone_number": "928-443-1400",
            "fax_number": "928-777-8264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOBBY L. RABER DMD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-16",
        "last_updated": "2009-06-16",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "MARVA",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "928-443-1400",
        "authorized_official_credential": "CMPE"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashly Brook Blackwell, RN
• Darrin Andrews Blake
• Blue Hills Medical LLC
• Bernard Boateng
• Bobby L Raber DMD PLLC (Bobby L Raber DMD Pediatric Dentistry)
• Jennifer Ann Bomicino, MS, LPC
• Claudia Bostick, LPN
• Debra Bour, MS RD
• Jennifer D Bowen, RN
• Andrea Christine Boyce, MS, LPC

• Pediatric Dentistry in Prescott Valley, AZ
• Providers in Prescott Valley, AZ by specialty
• Pediatric Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2009; 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.