Provider Demographics
NPI:1194108985
Name:RAPTI, MARTHA (DDS)
Entity type:Individual
Prefix:MRS
First Name:MARTHA
Middle Name:
Last Name:RAPTI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 KNEELAND STREET, 12TH FLOOR
Mailing Address - Street 2:TUFTS UNIVERSITY SCHOOL OF DENTAL MEDICINE, DPT. OF PG
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02111
Mailing Address - Country:US
Mailing Address - Phone:617-636-6591
Mailing Address - Fax:
Practice Address - Street 1:1 KNEELAND STREET, 12TH FLOOR
Practice Address - Street 2:TUFTS UNIVERSITY SCHOOL OF DENTAL MEDICINE, DPT. OF PG
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02111
Practice Address - Country:US
Practice Address - Phone:617-636-6591
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-30
Last Update Date:2016-03-30
Deactivation Date:2016-02-23
Deactivation Code:
Reactivation Date:2016-03-30
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program