Bobby Lee Raygan Jr., DMD PC

Primary specialty

DentistTaxonomy code 122300000X

License

4402 Issued in AL

Practice address

115 Forest Road
Hueytown, AL 35023

Phone

(205) 491-4921

Fax

(205) 491-4942

NPI assigned

Dec 27, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Bobby L. Raygan Jr. DMD PC

  • General Practice Dentistry
  • Hueytown, AL
  • NPI 1104644830
  NPD Authorized official

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751932800000",
    "number": "1942365036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 FOREST ROAD",
            "city": "HUEYTOWN",
            "state": "AL",
            "postal_code": "35023",
            "telephone_number": "205-491-4921",
            "fax_number": "205-491-4942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 FOREST ROAD",
            "city": "HUEYTOWN",
            "state": "AL",
            "postal_code": "35023",
            "telephone_number": "205-491-4921",
            "fax_number": "205-491-4942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYGAN",
        "first_name": "BOBBY",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DMD PC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-27",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "0004402",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "4402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rhodes Optical & Hearing Inc
• Rhodes Optical & Hearing Inc.

• Dentist in Hueytown, AL
• Providers in Hueytown, AL by specialty
• Dentist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2025; 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.