New Carlisle Family Dental - David M Raiffe DDS Mba Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

19625 Issued in OH

Legal business name

NEW CARLISLE FAMILY DENTAL - DAVID M RAIFFE DDS MBA INC

Doing business as

New Carlisle Family Dental

Practice address

203 E Lake Ave
New Carlisle, OH 45344-1465

Phone

(937) 845-9422

NPI assigned

Jun 21, 2014

Organization subpart

No

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

Authorized official

Name

David M Raiffe, DDS

Title

Owner

Phone

(937) 845-9422

Specialties & licenses 1

Addresses

Other names 1

• New Carlisle Family Dental Doing business as

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

{
    "created_epoch": "1403308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403308800000",
    "number": "1700291465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7601 ROYAL PORTRUSH DR",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441395256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 E LAKE AVE",
            "city": "NEW CARLISLE",
            "state": "OH",
            "postal_code": "453441465",
            "telephone_number": "937-845-9422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW CARLISLE FAMILY DENTAL - DAVID M RAIFFE DDS MBA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-21",
        "last_updated": "2014-06-21",
        "status": "A",
        "authorized_official_last_name": "RAIFFE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-845-9422",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "19625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Carlisle Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amy Lynn Mitchell, PTA
• Marlon L Moritz, DC
• Michael Carl Mueller, DDS
• Audrey Musselman, MDN, RDN, LD
• Meghna Srinivasan Narayanan, D.D.S.
• New Carlisle Family Practice LLC
• Dana M Nichols, D.M.D.
• Ohio CVS Stores LLC (CVS Pharmacy 03457)
• Brenda L Olwin
• On Call Inc (On Call Home Care Of Ohio)

• General Practice Dentistry in New Carlisle, OH
• Providers in New Carlisle, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2014; 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.