Provider Demographics
NPI:1871531657
Name:RAABE, DONALD ARTHUR (DDS)
Entity type:Individual
Prefix:DR
First Name:DONALD
Middle Name:ARTHUR
Last Name:RAABE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 BAKER BLVD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:FAIRLAWN
Mailing Address - State:OH
Mailing Address - Zip Code:44333-3650
Mailing Address - Country:US
Mailing Address - Phone:330-836-9341
Mailing Address - Fax:330-836-2640
Practice Address - Street 1:33 BAKER BLVD
Practice Address - Street 2:SUITE 201
Practice Address - City:FAIRLAWN
Practice Address - State:OH
Practice Address - Zip Code:44333-3650
Practice Address - Country:US
Practice Address - Phone:330-836-9341
Practice Address - Fax:330-836-2640
Is Sole Proprietor?:No
Enumeration Date:2006-06-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30-01-39591223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics