Provider Demographics
NPI:1205001906
Name:RAWLE, CHRISTOPHER ARTHUR (DMD, MS)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:ARTHUR
Last Name:RAWLE
Suffix:
Gender:M
Credentials:DMD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:903 N STATE ROAD 434
Mailing Address - Street 2:
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32714-7026
Mailing Address - Country:US
Mailing Address - Phone:407-682-1818
Mailing Address - Fax:407-682-2504
Practice Address - Street 1:903 N STATE ROAD 434
Practice Address - Street 2:
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32714-7026
Practice Address - Country:US
Practice Address - Phone:407-682-1818
Practice Address - Fax:407-682-2504
Is Sole Proprietor?:No
Enumeration Date:2008-04-24
Last Update Date:2011-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN189121223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLDN18912OtherFLORIDA DENTAL LICENSE