Provider Demographics
NPI:1740971043
Name:MEANS, RAYNA IMAN (DMD)
Entity type:Individual
Prefix:DR
First Name:RAYNA
Middle Name:IMAN
Last Name:MEANS
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 1:720 MONUMENT DR
Mailing Address - Street 2:
Mailing Address - City:MILLBROOK
Mailing Address - State:AL
Mailing Address - Zip Code:36054-1849
Mailing Address - Country:US
Mailing Address - Phone:334-285-3797
Mailing Address - Fax:
Practice Address - Street 1:720 MONUMENT DR
Practice Address - Street 2:
Practice Address - City:MILLBROOK
Practice Address - State:AL
Practice Address - Zip Code:36054-1849
Practice Address - Country:US
Practice Address - Phone:334-285-3797
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-17
Last Update Date:2025-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
ALD.007498-C1122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program