Provider Demographics
NPI:1710108212
Name:RAPPS, DANIEL MARK (DDS)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:MARK
Last Name:RAPPS
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:PO BOX 502954
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92150-2954
Mailing Address - Country:US
Mailing Address - Phone:858-229-6404
Mailing Address - Fax:858-451-8684
Practice Address - Street 1:16625 SAGEWOOD LANE
Practice Address - Street 2:
Practice Address - City:POWAY
Practice Address - State:CA
Practice Address - Zip Code:92064-2073
Practice Address - Country:US
Practice Address - Phone:858-229-6404
Practice Address - Fax:858-451-8684
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2008-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA211911223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics