Provider Demographics
NPI:1548426125
Name:RAUSCH, RICHARD L (DDS)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:L
Last Name:RAUSCH
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 1:1 ROCKEFELLER PLZ
Mailing Address - Street 2:SUITE 2201
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10020-2003
Mailing Address - Country:US
Mailing Address - Phone:212-581-5877
Mailing Address - Fax:212-581-5878
Practice Address - Street 1:1 ROCKEFELLER PLZ
Practice Address - Street 2:SUITE 2201
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10020-2003
Practice Address - Country:US
Practice Address - Phone:212-581-5877
Practice Address - Fax:212-581-5878
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-01
Last Update Date:2008-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0302181223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice