Provider Demographics
NPI:1073726774
Name:RAYMOND, TONI ANNE (DMD)
Entity Type:Individual
Prefix:DR
First Name:TONI
Middle Name:ANNE
Last Name:RAYMOND
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:54 ROOSEVELT AVE
Mailing Address - Street 2:
Mailing Address - City:HAWTHORNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07506-1539
Mailing Address - Country:US
Mailing Address - Phone:973-427-3156
Mailing Address - Fax:
Practice Address - Street 1:418 UNION BLVD
Practice Address - Street 2:
Practice Address - City:TOTOWA
Practice Address - State:NJ
Practice Address - Zip Code:07512-2562
Practice Address - Country:US
Practice Address - Phone:973-595-5955
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI17541122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist