Daniel G. Raether, DDS, Ms, LTD.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

10086 Issued in MN

Legal business name

DANIEL G. RAETHER, DDS, MS, LTD.

Practice address

2855 Campus Drive, Suite 360
Plymouth, MN 55441

Phone

(763) 383-1788

Fax

(763) 383-1768

NPI assigned

Feb 1, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Daniel G Raether, D.D.S., M.S.NPI 1609980804

Title

President

Phone

(763) 383-1788

Specialties & licenses 1

Addresses

Other names 1

• Camp Smile Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniel Gunderson Raether, DDS MS

  • Dentist
  • Plymouth, MN
  • NPI 1609980804
  NPD (past) Authorized official

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219017600000",
    "number": "1780722942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2855 CAMPUS DRIVE, SUITE 360",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "55441",
            "telephone_number": "763-383-1788",
            "fax_number": "763-383-1768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2855 CAMPUS DRIVE, SUITE 360",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "55441",
            "telephone_number": "763-383-1788",
            "fax_number": "763-383-1768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL G. RAETHER, DDS, MS, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2008-08-18",
        "status": "A",
        "authorized_official_last_name": "RAETHER",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "763-383-1788",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., M.S."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MN",
            "license": "10086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Camp Smile",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Hailey Dahl, MA, LPCC
• Thomas Leonard Dahl II, P.T.
• Linda Grace Dahlin, CRNA
• Steven P Dandrea, DC
• Theodore Mark Danger
• Denis F Darko, M.D.
• Monica Guzdkiewicz Daugherty, APRN, CNM, PMHNP
• Candida Amber Davenport, LAC, LADC
• Laura Davidson, MPAS, PA-C
• Eliza Davies, RN

• Pediatric Dentistry in Plymouth, MN
• Providers in Plymouth, MN by specialty
• Pediatric Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2008; 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.