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Peter Tyler Raven, DDS
General Practice Dentistry in Springfield, Oregon
NPI 1700036878

Peter Tyler Raven is a General Practice Dentistry based in Springfield, OR and is specialized in General Practice. Peter Tyler Raven practices in Springfield, OR and has the professional credentials of DDS. The NPI Number for Peter Tyler Raven is 1700036878 and holds a License No. D9085 (Oregon).

The current practice location address for Peter Tyler Raven is 222 6Th St, Springfield, OR and can be reached out via phone at 541-726-1961 and via fax at 541-726-3926.

Location: 222 6Th St, Springfield, OR, 97477-2434
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700036878
Provider Name
Peter Tyler Raven
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
222 6Th St, Springfield, OR, 97477-2434
Phone Number
541-726-1961
Fax Number
541-726-3926
Provider Enumeration Date
09/25/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
222 6Th St
City
Springfield
State
Oregon
Zip
97477-4602
Phone Number
541-726-1961
Fax Number
541-726-3926
person
Provider Business Mailing Address Details
Address
222 6Th St
City
Springfield
State
Oregon
Zip
97477-4602
Phone Number
541-726-1961
Fax Number
541-726-3926
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
D9085 (Oregon)
Definition
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.
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