Healthcare Provider Details

I. General information

NPI: 1659565851
Provider Name (Legal Business Name): ALPINE & RAFETTO ORTHODONTICS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2007
Last Update Date: 08/30/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4901 LIMESTONE RD
WILMINGTON DE
19808-1271
US

IV. Provider business mailing address

4901 LIMESTONE RD
WILMINGTON DE
19808-1271
US

V. Phone/Fax

Practice location:
  • Phone: 302-239-4600
  • Fax: 302-239-9951
Mailing address:
  • Phone: 302-239-4600
  • Fax: 302-239-9951

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. RAY S RAFETTO
Title or Position: PRESIDENT
Credential: DMD
Phone: 302-239-4600