Provider Demographics
NPI:1619136298
Name:RATTNER, LONNIE SCOTT (DMD)
Entity Type:Individual
Prefix:DR
First Name:LONNIE
Middle Name:SCOTT
Last Name:RATTNER
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3717 WEST BOYNTON BEACH BLVD.
Mailing Address - Street 2:SUITE #6
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33436
Mailing Address - Country:US
Mailing Address - Phone:561-738-1777
Mailing Address - Fax:561-736-0665
Practice Address - Street 1:3717 WEST BOYNTON BEACH BLVD.
Practice Address - Street 2:SUITE #6
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33436
Practice Address - Country:US
Practice Address - Phone:561-738-1777
Practice Address - Fax:561-736-0665
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-09
Last Update Date:2008-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN 120471223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics