Provider Demographics
NPI:1184743262
Name:TERRY F. RAKOWSKY, D.M.D.,P.C.
Entity type:Organization
Organization Name:TERRY F. RAKOWSKY, D.M.D.,P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:F
Authorized Official - Last Name:RAKOWSKY
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:610-847-5181
Mailing Address - Street 1:4018 DURHAM RD
Mailing Address - Street 2:
Mailing Address - City:OTTSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18942-9623
Mailing Address - Country:US
Mailing Address - Phone:610-847-5181
Mailing Address - Fax:610-847-2445
Practice Address - Street 1:4018 DURHAM RD
Practice Address - Street 2:
Practice Address - City:OTTSVILLE
Practice Address - State:PA
Practice Address - Zip Code:18942-9623
Practice Address - Country:US
Practice Address - Phone:610-847-5181
Practice Address - Fax:610-847-2445
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA0252311223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty