Individual provider · Type 1 NPI

Lee Robert Raddatz, DDS

Oral and Maxillofacial Surgery (Dentist) · Phoenix, AZ

NPI number 1942588710 Active

Practice location

1277 E Missouri Ave, 110
Phoenix, AZ 85014-2915

Fax (602) 248-7939

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XAZ1421 (AZ)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1942588710

Lee Robert Raddatz, DDS's National Provider Identifier is 1942588710, issued on Jul 28, 2011. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Phoenix, AZ. The record was last updated on Jul 28, 2011.