Provider Demographics
NPI:1245431741
Name:RAKOWSKY, LARRY F (DMD)
Entity Type:Individual
Prefix:DR
First Name:LARRY
Middle Name:F
Last Name:RAKOWSKY
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7601 EASTON RD
Mailing Address - Street 2:
Mailing Address - City:OTTSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18942-9778
Mailing Address - Country:US
Mailing Address - Phone:610-847-2433
Mailing Address - Fax:610-847-2692
Practice Address - Street 1:7601 EASTON RD
Practice Address - Street 2:
Practice Address - City:OTTSVILLE
Practice Address - State:PA
Practice Address - Zip Code:18942-9778
Practice Address - Country:US
Practice Address - Phone:610-847-2433
Practice Address - Fax:610-847-2692
Is Sole Proprietor?:No
Enumeration Date:2007-05-30
Last Update Date:2008-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA243251223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice