MEDICARE: RAYMOND NOPE D.D.S.

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
1	122300000X	Dentist	6061	LA
2	122300000X	Dentist	29653	TX

General Provider Information

NPI Number	:	1942512132
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAYMOND NOPE D.D.S.

Provider Business Mailing Address
First Line	:	109 RICHARDSON DR
Second Line	:
City	:	HENDERSON
State	:	TX
Zip	:	75654-3989
Country	:	US
Telephone Number	:	903-657-2266
Fax Number	:

Provider Business Practice Location Address
First Line	:	109 RICHARDSON DR
Second Line	:
City	:	HENDERSON
State	:	TX
Zip	:	75654-3989
Country	:	US
Telephone Number	:	903-657-2266
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/05/2010
Last Update Date	:	03/05/2025

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