Provider Demographics
NPI:1215822853
Name:RAWLINSON, BETHANY ANN (DDS)
Entity type:Individual
Prefix:
First Name:BETHANY
Middle Name:ANN
Last Name:RAWLINSON
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 1:20172 US HIGHWAY 59 STE B
Mailing Address - Street 2:
Mailing Address - City:NEW CANEY
Mailing Address - State:TX
Mailing Address - Zip Code:77357-5084
Mailing Address - Country:US
Mailing Address - Phone:832-604-3518
Mailing Address - Fax:
Practice Address - Street 1:20172 US HIGHWAY 59 STE B
Practice Address - Street 2:
Practice Address - City:NEW CANEY
Practice Address - State:TX
Practice Address - Zip Code:77357-5084
Practice Address - Country:US
Practice Address - Phone:832-604-3518
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-12
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program