Provider Demographics
NPI:1427505593
Name:RAPTIS, OLGA (DMD)
Entity type:Individual
Prefix:DR
First Name:OLGA
Middle Name:
Last Name:RAPTIS
Suffix:
Gender:
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:379 OAK ST
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03104-2616
Mailing Address - Country:US
Mailing Address - Phone:603-674-0782
Mailing Address - Fax:
Practice Address - Street 1:4 MANCHESTER AVE
Practice Address - Street 2:
Practice Address - City:DERRY
Practice Address - State:NH
Practice Address - Zip Code:03038-1931
Practice Address - Country:US
Practice Address - Phone:603-617-2882
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-07
Last Update Date:2025-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH051561223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
Provider Identifiers
StateIdentifier IDID TypeIssuer
RIDEN03462OtherRHODE ISLAND DEPARTMENT OF HEALTH
RICDEN03462OtherRHODE ISLAND DEPARTMENT OF HEALTH