Peter Tyler Raven, D.D.S. is a general practice dentist in Springfield, OR. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. Peter Tyler Raven, D.D.S. NPI is 1700036878. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
222 6TH ST
SPRINGFIELD, OR
ZIP 97477-602
Phone: (541) 726-1961
Fax: (541) 726-3926
The NPI 1700036878 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).
The enumeration date for this NPI number is 9/25/2008 and was last updated on 9/25/2008.