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NPI Code Detail

MEDICARE: TREVOR L. RAGAN, DDS, INC.

MEDICARE: TREVOR L. RAGAN, DDS, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist39930CA

General Provider Information

NPI Number : 1427260314
Entity Type Code : Organization
Provider Name (Legal Business Name) : TREVOR L. RAGAN, DDS, INC.
Provider Business Mailing Address
First Line : 444 W MINER ST
Second Line :
City : YREKA
State : CA
Zip : 96097-2839
Country : US
Telephone Number : 530-842-7323
Fax Number :
Provider Business Practice Location Address
First Line : 444 W MINER ST
Second Line :
City : YREKA
State : CA
Zip : 96097-2839
Country : US
Telephone Number : 530-842-7323
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : TREVOR RAGAN
Credential : DDS
Telephone Number : 530-842-7323
Provider Enumeration Date : 05/04/2007
Last Update Date : 08/12/2009

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Directions to “TREVOR L. RAGAN, DDS, INC. ” Practice Location

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