Dennis G Raitt DDS PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5078 Issued in FL

Legal business name

DENNIS G RAITT DDS PA

Practice address

2532 Capital Medical Blvd
Tallahassee, FL 32308

Phone

(850) 878-0064

Fax

(850) 942-5145

NPI assigned

Aug 16, 2006

Last updated

Aug 22, 2020By 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. Dennis Gary Raitt, DDS

Title

Dentist President

Phone

(850) 878-0064

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881707800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2532 CAPITAL MEDICAL BLVD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "32308",
            "telephone_number": "850-878-0064",
            "fax_number": "850-942-5145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2532 CAPITAL MEDICAL BLVD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "32308",
            "telephone_number": "850-878-0064",
            "fax_number": "850-942-5145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENNIS G RAITT DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RAITT",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "GARY",
        "authorized_official_title_or_position": "DENTIST PRESIDENT",
        "authorized_official_telephone_number": "850-878-0064",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "5078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tronna A Demps, PHARM.D, CPH
• Jennifer A Deneen, LCSW
• Yadeceia Denmark
• Dana Dennard, PH.D.
• Malek Dennard
• Carmen Victoria Dennis
• Kyndal Dennis
• Rolanda Dennis, RCSWI, MSW
• Tara Dennis, APRN
• Leah Dennison, LCSW

• General Practice Dentistry in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.