Provider Demographics
NPI:1457380644
Name:RABI, ROBBY M (DMD)
Entity Type:Individual
Prefix:
First Name:ROBBY
Middle Name:M
Last Name:RABI
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1101 MADISON ST STE 1290
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98104-3510
Mailing Address - Country:US
Mailing Address - Phone:206-939-5600
Mailing Address - Fax:
Practice Address - Street 1:1101 MADISON ST STE 1290
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-3510
Practice Address - Country:US
Practice Address - Phone:206-939-5600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-01
Last Update Date:2022-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN175601223G0001X
WADE609949951223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics
No1223G0001XDental ProvidersDentistGeneral Practice