Provider Demographics
NPI:1053310730
Name:RAAD, RICHARD G (DDS)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:G
Last Name:RAAD
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:50505 SCHOENHERR RD
Mailing Address - Street 2:STE 170
Mailing Address - City:SHELBY TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48315-3141
Mailing Address - Country:US
Mailing Address - Phone:586-530-0689
Mailing Address - Fax:
Practice Address - Street 1:41400 DEQUINDRE RD
Practice Address - Street 2:SUITE #101
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48314-3763
Practice Address - Country:US
Practice Address - Phone:586-739-1111
Practice Address - Fax:586-726-9441
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-15
Last Update Date:2016-03-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MID138031223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice