Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. RANDY GORDON RAETZ, DDS
Active Sole ProprietorGeneral Dentistry · ROCHESTER, NY
Registration Details
- NPI Number
- 1811990807
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 24, 2005 (20.910824775422 yrs)
- Last Updated
- Sep 2, 2011
- License
-
045887 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2273 S CLINTON AVEROCHESTER, NY, 146182662Browse NY providers · Browse ZIP 14618
- Phone
- 5854731550
- Fax
- 5854731552
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in ROCHESTER, NY
| Name | Credential | NPI |
|---|---|---|
| DR. WILLARD CHARLES BOEHM | D.D.S. | 1356346126 |
| DR. KATHLEEN ELIZABETH POLEON | DDS | 1679578447 |
| DR. STEPHEN ROBERT BURGART | DDS | 1124023858 |
| DR. PEI-WEI LINDA LIN | DMD | 1679575153 |
| CAROL A SCURO | DMD | 1780677278 |
| W BRADFORD EMERY | DMD | 1952394447 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.