Raynard Riley Dds is a Dentist in Summit, New Jersey. Raynard Riley Dds practices all healthcare services and medical treatments related to Dentist. The NPI Number for Raynard Riley Dds is 1043315302. The last update date is 2014-09-15.
Raynard Riley Dds's current location address is 475 Springfield Ave, Summit, New Jersey. You can contact this provider via phone number 9082735656 and fax number 9082735661. The mailing address for Raynard Riley Dds is 475 Springfield Ave, Summit, New Jersey. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Raynard Riley Dds |
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Address | 475 Springfield Ave, Summit, New Jersey |
Phone Number | 9082735656 |
Fax Number | 9082735661 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | OWNER/PRES |
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Authorized Official Name | Riley Otis Raynard |
Credentials | DDS |
Telephone Number | 9082735656 |
NPI Number Detail
NPI Number | 1043315302 |
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Provider Enumeration Date | 2006-09-13 |
Last Updated Date | 2014-09-15 |
Provider Mailing Address Detail
Address | 475 Springfield Ave |
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City | Summit |
State | New Jersey (NJ) |
Post Code | 7901 |
Phone Number | 9082735656 |
Fax Number | 9082735661 |
Provider's Primary Taxonomy Detail
Speciality | Dentist |
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Taxonomy | 122300000X |
Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique provider identifier assigned to Raynard Riley Dds?
The Raynard Riley Dds has been issued the NPI (National Provider Identifier) 1043315302 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Raynard Riley Dds?
The Raynard Riley Dds is physically situated at 475 Springfield Ave, in the city of Summit, state of NJ, with the postal code 7901.
What is the area of specialization for Raynard Riley Dds, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Raynard Riley Dds is Dentist, and the corresponding taxonomy code that categorizes this area of expertise is 122300000X.
On what date was the 1043315302 assigned to Raynard Riley Dds?
The Raynard Riley Dds was issued its 1043315302 on 2006-09-13, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Raynard Riley Dds, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Raynard Riley Dds, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2014-09-15.
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