Provider Demographics
NPI:1770926339
Name:RAPANOTTI, MARIO CEASAR (DDS)
Entity type:Individual
Prefix:DR
First Name:MARIO
Middle Name:CEASAR
Last Name:RAPANOTTI
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 1:1260 RIVER ACRES DR
Mailing Address - Street 2:STE B
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130
Mailing Address - Country:US
Mailing Address - Phone:830-627-7777
Mailing Address - Fax:830-643-0077
Practice Address - Street 1:1260 RIVER ACRES DR
Practice Address - Street 2:STE B
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130
Practice Address - Country:US
Practice Address - Phone:830-627-7777
Practice Address - Fax:830-643-0077
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-14
Last Update Date:2018-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13678122300000X
TXTX13678122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist