Provider Demographics
NPI:1497252001
Name:RABUS, PATRICK (DMD)
Entity Type:Individual
Prefix:
First Name:PATRICK
Middle Name:
Last Name:RABUS
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 1:8441 W BOWLES AVE STE 220
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80123-9501
Mailing Address - Country:US
Mailing Address - Phone:303-979-2544
Mailing Address - Fax:
Practice Address - Street 1:8441 W BOWLES AVE STE 220
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80123-9501
Practice Address - Country:US
Practice Address - Phone:303-979-2544
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-10
Last Update Date:2020-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO002039511223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice