Healthcare Provider Details

I. General information

NPI: 1427243435
Provider Name (Legal Business Name): JOHN REED RAYHER DDS, MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/12/2007
Last Update Date: 06/10/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

490 POST ST SUITE 620
SAN FRANCISCO CA
94102-1401
US

IV. Provider business mailing address

490 POST ST SUITE 620
SAN FRANCISCO CA
94102-1401
US

V. Phone/Fax

Practice location:
  • Phone: 415-397-1400
  • Fax: 415-397-1402
Mailing address:
  • Phone: 415-397-1400
  • Fax: 415-397-1402

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code204E00000X
TaxonomyOral & Maxillofacial Surgery (D.M.D.)
License NumberA97310
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: