DANIEL G. RAETHER DDS MS LTD. NPI 1780722942

NPI Information

  • NPI: 1780722942
  • Provider Name: DANIEL G. RAETHER, DDS, MS, LTD.
  • Classification: Dentist - 1223P0221X
  • Specialization: Pediatric Dentistry
  • Entity Type: Organization
  • Other Name: CAMP SMILE
  • Address: 2855 CAMPUS DRIVE, SUITE 360
    PLYMOUTH, MN
    ZIP 55441
  • Phone: (763) 383-1788

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NPI Details

DANIEL G. RAETHER, DDS, MS, LTD. is a pediatric dentistry dentist in Plymouth, MN. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. DANIEL G. RAETHER, DDS, MS, LTD. NPI is 1780722942. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Camp Smile.

The provider's business location address is:

2855 CAMPUS DRIVE, SUITE 360
PLYMOUTH, MN
ZIP 55441
Phone: (763) 383-1788
Fax: (763) 383-1768

The provider's authorized official is Daniel G Raether .
The authorized official title is President and has the following contact phone number (763) 383-1788.

The enumeration date for this NPI number is 2/1/2007 and was last updated on 8/18/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223P0221XDentistPediatric Dentistry10086MINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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