Provider Demographics
NPI:1265605828
Name:RAWDIN, ROBERT C (DDS)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:C
Last Name:RAWDIN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:MR
Other - First Name:ROBERT
Other - Middle Name:C
Other - Last Name:RAWDIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:24 W 57TH ST STE 701
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019-3949
Mailing Address - Country:US
Mailing Address - Phone:212-246-8700
Mailing Address - Fax:212-246-8707
Practice Address - Street 1:24 W 57TH ST STE 701
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-3949
Practice Address - Country:US
Practice Address - Phone:212-246-8700
Practice Address - Fax:212-246-8707
Is Sole Proprietor?:No
Enumeration Date:2008-04-03
Last Update Date:2018-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0382531223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics