Provider Demographics
NPI:1700580735
Name:RAWLINGS, RANDIN (DDS)
Entity Type:Individual
Prefix:
First Name:RANDIN
Middle Name:
Last Name:RAWLINGS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3401 STARR ST APT 3
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68503-2081
Mailing Address - Country:US
Mailing Address - Phone:402-423-0396
Mailing Address - Fax:
Practice Address - Street 1:76 NEALY BLVD BLDG 92
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23665-2022
Practice Address - Country:US
Practice Address - Phone:757-764-6824
Practice Address - Fax:757-225-0595
Is Sole Proprietor?:No
Enumeration Date:2023-03-27
Last Update Date:2023-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program