| Dr Michael Jay Raizen, DDS | |
|
600 W 3rd St, Mansfield, OH 44906-2633 | |
| (419) 522-1939 | |
| Not Available |
| Full Name | Dr Michael Jay Raizen |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 600 W 3rd St, Mansfield, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417951781 | NPI | - | NPPES |
| 02062339 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 106233 (Colorado) | Secondary |
| 122300000X | Dentist | 22695 (Ohio) | Primary |
| Entity Name | Denver Health And Hospital Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477569838 PECOS PAC ID: 4688583578 Enrollment ID: O20031105000211 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael Jay Raizen, DDS 600 W 3rd St, Mansfield, OH 44906-2633 Ph: (419) 522-1939 | Dr Michael Jay Raizen, DDS 600 W 3rd St, Mansfield, OH 44906-2633 Ph: (419) 522-1939 |
Dr. Jeffrey Allen Schmunk, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 625 Cline Ave, Mansfield, OH 44907 Phone: 419-756-1001 Fax: 419-756-5895 | |
Dr. Russell Kiser Ii, D.D.S., M.S. Dentist Medicare: Medicare Enrolled Practice Location: 1245 S Trimble Rd, Mansfield, OH 44907 Phone: 419-756-2880 Fax: 419-775-8820 | |
Mr. Walter Edward Glenn, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 13 Park Avenue West, Suite 517, Mansfield, OH 44902 Phone: 419-522-2523 Fax: 419-522-2523 | |
David Edwin Hoag, DDS Dentist Medicare: Medicare Enrolled Practice Location: 600 West Third Street, Mansfield, OH 44906 Phone: 419-522-6191 Fax: 419-526-4911 | |
Dr. Michael Robert Leech, DDS Dentist Medicare: Medicare Enrolled Practice Location: 630 Lexington Ave, Mansfield, OH 44907 Phone: 419-756-1110 | |
Bryce Steindl, Dentist Medicare: Medicare Enrolled Practice Location: 600 W 3rd St, Mansfield, OH 44906 Phone: 419-522-1939 | |
Dr. Dina Lynn Ambrose, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 370 Cline Ave, Mansfield, OH 44907 Phone: 419-756-0111 Fax: 419-756-0404 |