Provider Demographics
NPI:1710031554
Name:RAUSCH, DENNIS CARL (DDS)
Entity Type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:CARL
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 1:4319 JAMES CASEY ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78745-1189
Mailing Address - Country:US
Mailing Address - Phone:512-441-8664
Mailing Address - Fax:512-441-8664
Practice Address - Street 1:4319 JAMES CASEY ST
Practice Address - Street 2:SUITE 200
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78745-1189
Practice Address - Country:US
Practice Address - Phone:512-441-8664
Practice Address - Fax:512-441-8664
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXTX11-9611223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice