Gayatri Raina, DMD

Individual provider Active NPI General Practice Dentistry · Huntington, TX

NPI 1740417682 · NPPES record last updated Oct 1, 2019

Key facts

NPI
1740417682
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
24522 (TX)
Practice address
1202 N Main St
Huntington, TX 75949
Phone
(936) 422-4211
Fax
(936) 867-5795
NPI assigned
Jun 18, 2009
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
24522TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Smilesfromrainapllc Current
since Oct 6, 2019
Accepting new patients

Locations

1202 N Main St
Huntington, TX 75949
Phone (936) 422-4211

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 24522 TX Yes

Addresses

Primary practice location

1202 N Main St
Huntington, TX 75949

Mailing address

1202 N Main St
Huntington, TX 75949-8424
Phone (936) 422-4211

Other practice location 1

1809 Tulane Dr
Lufkin, TX 75901-5637
Phone (225) 202-9446

Other providers in Huntington, TX

All providers in Huntington, TX · General Practice Dentistry in Texas

Sources for this page

Verify at the official NPI Registry.