Provider Demographics
NPI:1265642920
Name:RASHE, PETER JAMES (DDS)
Entity Type:Individual
Prefix:DR
First Name:PETER
Middle Name:JAMES
Last Name:RASHE
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 1:1225 FARR ST
Mailing Address - Street 2:P.O. BOX 360
Mailing Address - City:WALLER
Mailing Address - State:TX
Mailing Address - Zip Code:77484-8486
Mailing Address - Country:US
Mailing Address - Phone:936-372-9293
Mailing Address - Fax:936-372-5279
Practice Address - Street 1:1225 FARR ST
Practice Address - Street 2:
Practice Address - City:WALLER
Practice Address - State:TX
Practice Address - Zip Code:77484-8486
Practice Address - Country:US
Practice Address - Phone:936-372-9293
Practice Address - Fax:936-372-5279
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2009-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX24411122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist