Kenmore Family Dental

LBN: David M. Raiffe Dds Mba
Kenmore Family Dental is an health care organization with primary practice located at 916 Kenmore Blvd , Akron OH 44314-2113. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. David M. Raiffe Dds Mba can be contacted via phone (330) 753-8155, or through Riaffe, David via phone (330) 753-8155.

Contact Information

Primary practice address
916 Kenmore Blvd Akron OH 44314-2113
Phone: (330) 753-8155
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Riaffe, David Doctor of Dental Surgery (DDS)
Phone: (330) 753-8155

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 019625 Ohio

Profile Details

NPI number 1811273238
LBN Legal business name David M. Raiffe Dds Mba
DBA Doing business as Kenmore Family Dental
Authorized official Riaffe, David Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 31st, 2011
Last updated Oct 31st, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811273238 NPPES
Ohio MEDICAID 0963631

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