PETER T RAVEN DDS LLC
NPI 1619264272
Clinic/Center - Dental in Springfield, OR

Active since July 05, 2011
222 6TH ST, SPRINGFIELD, OR 97477(541) 726-1961 Get Directions Write a Review

NPPES record last updated: July 5, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Peter T Raven Dds Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PETER T RAVEN DDS LLC (NPI 1619264272) is a healthcare organization registered as a dental in Springfield, Oregon and active in the NPI registry since July 2011. The organization lists Peter Tyler Raven, Manager, as its authorized official.

NPPES Registry Identity

NPI1619264272
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NamePETER T RAVEN DDS LLC
Location Address222 6TH STSpringfield, OR 97477-4602
Mailing Address222 6th StSpringfield, OR 97477-4602 · (541) 726-1961
Organization SubpartNo
Authorized OfficialPeter Tyler RavenManager · (541) 726-1961
Enumeration DateJuly 5, 2011
NPI 1619264272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License Licensed in OR · D9085
222 6TH ST, Springfield, OR 97477

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
222 6TH ST
SPRINGFIELD, OR 97477
Dentist (General Practice)
222 6TH ST
SPRINGFIELD, OR 97477

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Peter T Raven Dds LLC's NPI number?

The NPI number for Peter T Raven Dds LLC is 1619264272. It was assigned to this organization in the NPPES registry on July 5, 2011.

Where is Peter T Raven Dds LLC located?

Peter T Raven Dds LLC is located at 222 6th St, Springfield, OR 97477. The listed phone number is (541) 726-1961.

What is Peter T Raven Dds LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Peter T Raven Dds LLC was last updated on July 5, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.