WARREN DENTAL GROUP, DAVID M RAIFFE, DDS, MBA, INC (NPI# 1013250026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013250026 |
| Entity Type | Organization |
| Organization Name | WARREN DENTAL GROUP, DAVID M RAIFFE, DDS, MBA, INC |
| Practice Address |
1019 N Park Ave Warren OH 44483-3725 |
| Mailing Address |
7601 Royal Portrush Dr Solon OH 44139-5256 |
| Practice Telephone | 3303953820 |
| Enumeration Date | 2013-03-28 |
| Last Update Date | 2013-03-28 |
| Authorized Official Name | DAVID M RAIFFE (OWNER/DENTIST) |
| Authorized Official Telephone | 3303953820 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
019625 | OH | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0963631 | 05 |
| Street Address |
1019 N PARK AVE |
| City | WARREN |
| State | OH |
| Zip Code | 44483-3725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558860130 | Alan B Schlesinger Dds LLC | Dentist | 1019 N Park Ave, Warren, OH 44483-3725 | 2018-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417572850 | Kimberly Lee Slater | Peer Specialist | 709 Mahoning Ave Nw, Warren, OH 44483 | 2020-06-11 |
| 1083239792 | Krutarth Kandarp Pandya | Student in an Organized Health Care Education/Training Program | 1350 East Market Street 7th Floor, Warren, OH 44483 | 2020-06-09 |
| 1902435738 | Peter Alexander Iskander | Student in an Organized Health Care Education/Training Program | 1350 E Market Street, 7th Floor, Warren, OH 44483 | 2020-04-03 |
| 1093344822 | Matthew Jacob | Student in an Organized Health Care Education/Training Program | 1350 East Market Street, 7th Floor, Warren, OH 44483 | 2020-04-03 |
| 1306309638 | Sameer Raj Joshi | Student in an Organized Health Care Education/Training Program | 1350 East Market Street, Warren, OH 44483 | 2019-04-12 |
| 1336619964 | Alexis Valentino | Nurse Practitioner | 247 Oak Knoll Se, Warren, OH 44483 | 2018-11-27 |
| 1538656921 | Biswaraj Tharu | Student in an Organized Health Care Education/Training Program | 1350 East Market Street, Trumbull Regional Medical Cent, Warren, OH 44483 | 2018-04-20 |
| 1790216448 | Jeannie Gurich | Substance Abuse Rehabilitation Facility | 2737 Youngstown Warren Rd. Se, Warren, OH 44483 | 2017-03-24 |
| 1205388634 | Laurie L Horvath | Midwife | 1651 E Market, Warren, OH 44483 | 2016-11-02 |
| 1235586264 | Travis Robert Dickey | Physical Therapist | 4329 Mahoning Ave. Nw, Warren, OH 44483 | 2016-05-19 |
| Find all providers in zip 44483 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578177713 | Warren Family Dentistry | Dentist | 11250 E 13 Mile Rd Ste 3, Warren, MI 48093-2597 | 2020-09-04 |
| 1144847294 | Rezan Doku | Dentist | 11552 E 12 Mile Rd Ste 105, Warren, MI 48093-2644 | 2020-07-06 |
| 1710449459 | Benjamin J Underwood Dds LLC | Dentist | 6213 Chicago Rd Ste 100, Warren, MI 48092-1697 | 2019-04-02 |
| 1902341233 | George C. Ploumbis, Dds, Inc. | Dentist | 2239 E Market St, Warren, OH 44483-6105 | 2016-12-22 |
| 1023491586 | A1 Family Dentistry,plc | Dentist | 30205 Schoenherr Rd Ste E, Warren, MI 48088-6800 | 2015-07-02 |
| 1508124363 | Marek Jaroslaw Ogledzki | Dentist | 11900 E 12 Mile Rd Ste 210, Warren, MI 48093-3490 | 2012-04-30 |
| 1558636936 | Soft Care Dental Group | Dentist | 108 Town Center Dr, Warren, NJ 07059-5692 | 2012-03-18 |
| 1487884375 | Thomas Joseph Wilson | Dentist | 8401 Howland Springs Rd Se, Warren, OH 44484-3120 | 2009-07-26 |
| 1801054085 | Oleg Doubrovski | Dentist | 4265 E 10 Mile Rd, Warren, MI 48091-1578 | 2008-05-24 |
| 1003092206 | Anita Whalen | Dentist | 508 North Minnesota Street, Warren, MN 56762-0093 | 2008-01-17 |
| Find all providers in WARREN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.