Provider Demographics
NPI:1902415276
Name:RAGLAND ORTHODONTICS
Entity Type:Organization
Organization Name:RAGLAND ORTHODONTICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:RAGLAND
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:717-755-0422
Mailing Address - Street 1:800 EDGEWOOD RD STE 1
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-4379
Mailing Address - Country:US
Mailing Address - Phone:717-755-0422
Mailing Address - Fax:717-755-0111
Practice Address - Street 1:800 EDGEWOOD RD STE 1
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17402-4379
Practice Address - Country:US
Practice Address - Phone:717-755-0422
Practice Address - Fax:717-755-0111
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-23
Last Update Date:2020-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental