NPI 1003087784

Jerrold N Raab DDS PC

Organisation General Practice Dentistry Monterry, MA

Practice location

Address: 549 Rte 23, Monterry, MA 01245
Phone: (413) 528-6520
Mailing address: PO Box 522 Rte 23, Monterry, MA 01245

Authorised official

Name: Jerrold Nathan Raab
Title: Dentist President
Phone: (413) 528-6520

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 15788 (MA)

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Registry record

NPI: 1003087784
Entity type: Organization
NPI issued: 20 Mar 2008
Record last updated: 20 Mar 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.