Provider Demographics
NPI:1013800267
Name:RATHKE, KATHERINE IRENE (DDS)
Entity type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:IRENE
Last Name:RATHKE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7709 COTTAGE DR
Mailing Address - Street 2:
Mailing Address - City:BELLAIRE
Mailing Address - State:MI
Mailing Address - Zip Code:49615-9228
Mailing Address - Country:US
Mailing Address - Phone:231-350-8436
Mailing Address - Fax:
Practice Address - Street 1:4631 S M 88 HWY
Practice Address - Street 2:
Practice Address - City:BELLAIRE
Practice Address - State:MI
Practice Address - Zip Code:49615-9111
Practice Address - Country:US
Practice Address - Phone:231-533-8712
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-29
Last Update Date:2025-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2901602599122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist