Provider Demographics
NPI:1770761017
Name:LARRY F. RAKOWSKY, D.M.D., P.C.
Entity type:Organization
Organization Name:LARRY F. RAKOWSKY, D.M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:F
Authorized Official - Last Name:RAKOWSKY
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:610-847-2433
Mailing Address - Street 1:7601 EASTON RD
Mailing Address - Street 2:
Mailing Address - City:OTTSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18942-9778
Mailing Address - Country:US
Mailing Address - Phone:610-847-2433
Mailing Address - Fax:610-847-2692
Practice Address - Street 1:7601 EASTON RD
Practice Address - Street 2:
Practice Address - City:OTTSVILLE
Practice Address - State:PA
Practice Address - Zip Code:18942-9778
Practice Address - Country:US
Practice Address - Phone:610-847-2433
Practice Address - Fax:610-847-2692
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-08
Last Update Date:2008-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADSO24325L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty