Jeffrey J. Raymond Jr., D.M.D., P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS037403 Issued in PA

Legal business name

JEFFREY J. RAYMOND JR., D.M.D., P.C.

Practice address

213 Woodward Ave
Lock Haven, PA 17745-1716

Phone

(570) 748-6603

NPI assigned

Sep 19, 2011

Last updated

Sep 19, 2011By 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

Dr. Jeffrey J Raymond Jr., DMD

Title

President

Phone

(570) 748-6603

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1316390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316390400000",
    "number": "1861774556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 WOODWARD AVE",
            "city": "LOCK HAVEN",
            "state": "PA",
            "postal_code": "177451716",
            "telephone_number": "570-748-6603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 WOODWARD AVE",
            "city": "LOCK HAVEN",
            "state": "PA",
            "postal_code": "177451716",
            "telephone_number": "570-748-6603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY J. RAYMOND JR., D.M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-19",
        "last_updated": "2011-09-19",
        "status": "A",
        "authorized_official_last_name": "RAYMOND",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-748-6603",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS037403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Lock Haven, PA
• Providers in Lock Haven, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2011; 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.