Healthcare Provider Details

I. General information

NPI: 1790703940
Provider Name (Legal Business Name): STEVEN K RAYES DDS, MS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2006
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

303 ROUTE 5S SUITE 2, UNIT 11
NORWICH VT
05055
US

IV. Provider business mailing address

303 ROUTE 5S SUITE 2, UNIT 11
NORWICH VT
05055
US

V. Phone/Fax

Practice location:
  • Phone: 802-649-5210
  • Fax:
Mailing address:
  • Phone: 802-649-5210
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number04050
License Number StateNH
# 2
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number1031
License Number StateAK
# 3
Primary TaxonomyN
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number1031
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: