Active NPIIndividual provider

Badr Raissi, DMD

Dentist in Somerset, New Jersey

NPI Number1487215745
Practice location
107 Cedar Grove Ln Ste 102, Somerset, NJ 08873-4719
Fax
—
Last updated
January 11, 2021

Badr Raissi is a Dentist based in Somerset, NJ. Badr Raissi practices in Somerset, NJ and has the professional credentials of DMD. The NPI Number for Badr Raissi is 1487215745 and holds a License No. 22DI02787200 (NJ). The current practice location address for Badr Raissi is 107 Cedar Grove Ln Ste 102, Somerset, NJ 08873-4719 and can be reached out via phone at 732-357-3770.

Provider Profile Details

NPI Number
1487215745
Provider Name
Badr Raissi
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
107 Cedar Grove Ln Ste 102, Somerset, NJ 08873-4719
Phone Number
732-357-3770
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
No
Provider Enumeration Date
June 26, 2019
Last Update Date
January 11, 2021
Certification Date
January 11, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
107 Cedar Grove Ln Ste 102
Somerset, NJ 08873-4719
Zip
08873-4719
Phone Number
732-357-3770
Somerset, NJ 08873Get directions →

Provider Business Mailing Address Details

Address
832 Willow Ave Apt 3D
Hoboken, NJ 07030-2906
City
Hoboken
State
NJ
Zip
07030-2906

License Information

License Number (2)
22DI02787200
License State (2)
NJ
Taxonomy (2)
Dentist · 122300000X · 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 Badr Raissi, DMD?

The NPI number of Badr Raissi, DMD is 1487215745. It was assigned on June 26, 2019 and is currently active in the NPPES registry.

What is the specialty of Badr Raissi, DMD?

Badr Raissi, DMD is registered under the primary taxonomy Dentist (code 122300000X), licensed in NJ under license number 22DI02787200.

Where does Badr Raissi, DMD practice?

The practice location is 107 Cedar Grove Ln Ste 102, Somerset, NJ 08873-4719. The office can be reached at 732-357-3770 (phone).

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 1487215745 directly on the NPPES registry website.

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