Peter Tyler Raven, D.D.S.

General Practice Dentistry · Springfield, OR

Individual Active NPI

NPI number 1700036878

Practice location

222 6TH St
Springfield, OR 97477-4602
Phone
(541) 726-1961
Fax
(541) 726-3926

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NPI record

NPI
1700036878
Entity type
Individual (Type 1)
Enumeration date
September 25, 2008
Last updated
September 25, 2008
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X D9085 OR

Mailing address

2216 15TH St
Springfield, OR 97477-2434
Phone
(541) 515-6218
Fax
(541) 726-3926

About Dr. Raven

Peter Tyler Raven, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 222 6TH St, Springfield, OR 97477-4602. The NPI number 1700036878 was assigned on September 25, 2008 and the record was last updated on September 25, 2008.

Dr. Raven lists a license in the registry: #D9085 (OR) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Peter Tyler Raven, D.D.S.?

The NPI number is 1700036878.

What is the phone number of Dr. Raven?

The phone number listed for the practice location is (541) 726-1961.

Where is Dr. Raven located?

222 6TH St, Springfield, OR 97477-4602.

What is the taxonomy code for Dr. Raven?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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