Provider Demographics
NPI:1477639839
Name:RAPE & BROOKS ORTHODONTICS PC
Entity Type:Organization
Organization Name:RAPE & BROOKS ORTHODONTICS PC
Other - Org Name:LUTHER T CALE AND W GREGORY RAPE, ORTHODONTISTS PC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:ORTHODONTIST PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:BROOKS
Authorized Official - Suffix:JR
Authorized Official - Credentials:DMD MS
Authorized Official - Phone:205-680-4475
Mailing Address - Street 1:PO BOX 327
Mailing Address - Street 2:
Mailing Address - City:CLAY
Mailing Address - State:AL
Mailing Address - Zip Code:35048-0327
Mailing Address - Country:US
Mailing Address - Phone:205-680-4475
Mailing Address - Fax:205-680-4476
Practice Address - Street 1:6840 MURRAY DR
Practice Address - Street 2:
Practice Address - City:PINSON
Practice Address - State:AL
Practice Address - Zip Code:35126-6018
Practice Address - Country:US
Practice Address - Phone:205-680-4475
Practice Address - Fax:205-680-4476
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-28
Last Update Date:2015-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty