Provider Demographics
NPI:1225100985
Name:FRANK C RAYMER DDS INC
Entity Type:Organization
Organization Name:FRANK C RAYMER DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST DENTAL PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:CHRISTOPHER
Authorized Official - Last Name:RAYMER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:949-646-2481
Mailing Address - Street 1:1901 WESTCLIFF DR
Mailing Address - Street 2:STE #6
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660
Mailing Address - Country:US
Mailing Address - Phone:949-646-2481
Mailing Address - Fax:949-646-2220
Practice Address - Street 1:1901 WESTCLIFF DR
Practice Address - Street 2:STE #6
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660
Practice Address - Country:US
Practice Address - Phone:949-646-2481
Practice Address - Fax:949-646-2220
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA31688122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty