Active NPIIndividual provider

Dr. Mark E Raider, DMD

Dentist, General Practice in Mahopac, New York

NPI Number1285851220
Practice location
888 Route 6, Mahopac, NY 10541-6201
Fax
845-628-3010
Last updated
January 29, 2016

Mark E Raider is a Dentist, General Practice based in Mahopac, NY. Mark E Raider practices in Mahopac, NY and has the professional credentials of DMD. The NPI Number for Mark E Raider is 1285851220 and holds a License No. 50 052961 (NY). The current practice location address for Mark E Raider is 888 Route 6, Mahopac, NY 10541-6201 and can be reached out via phone at 845-628-3700 and via fax at 845-628-3010.

Provider Profile Details

NPI Number
1285851220
Provider Name
Mark E Raider
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
888 Route 6, Mahopac, NY 10541-6201
Phone Number
845-628-3700
Fax Number
845-628-3010
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
No
Provider Enumeration Date
April 19, 2007
Last Update Date
January 29, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
888 Route 6
Mahopac, NY 10541-6201
Zip
10541-6201
Phone Number
845-628-3700
Fax Number
845-628-3010
Mahopac, NY 10541Get directions →

Provider Business Mailing Address Details

Address
888 Route 6
Mahopac, NY 10541-6201
City
Mahopac
State
NY
Zip
10541-6201
Phone Number
845-628-3700
Fax Number
845-628-3010

License Information

License Number
50 052961
License State
NY
Taxonomy
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Mark E Raider, DMD?

The NPI number of Dr. Mark E Raider, DMD is 1285851220. It was assigned on April 19, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Mark E Raider, DMD?

Dr. Mark E Raider, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NY under license number 50 052961.

Where does Dr. Mark E Raider, DMD practice?

The practice location is 888 Route 6, Mahopac, NY 10541-6201. The office can be reached at 845-628-3700 (phone) or 845-628-3010 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1285851220 directly on the NPPES registry website.

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