National Provider Identifier
Randy Gordon Raetz, DDS
Randy Gordon Raetz, DDS is listed in the NPPES registry with a primary specialty of General Practice Dentistry in Rochester, NY and a listed phone number of (585) 473-1550.
Profile Overview
- NPI
- 1811990807
- Provider Type
- Individual
- Primary Specialty
- General Practice Dentistry
- Enumeration Date
- May 24, 2005
- Last Updated
- September 02, 2011
Practice Location
- 2273 S Clinton Ave
- Rochester, NY 14618-2662
Phone: (585) 473-1550
Specialties
- General Practice Dentistry (1223G0001X)
Full Record
- NPI
- 1811990807
- Entity Type
- Individual
- Last Name
- Raetz
- First Name
- Randy
- Middle Name
- Gordon
- Name Prefix
- Dr.
- Credential
- DDS
- Mailing Street Address
- 2273 S Clinton Ave
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14618-2662
- Mailing Country
- US
- Mailing Phone
- (585) 473-1550
- Mailing Fax
- (585) 473-1552
- Practice Street Address
- 2273 S Clinton Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14618-2662
- Practice Country
- US
- Practice Phone
- (585) 473-1550
- Practice Fax
- (585) 473-1552
- Enumeration Date
- May 24, 2005
- Last Updated
- September 02, 2011
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- General Practice Dentistry (1223G0001X)