Provider Demographics
NPI:1316344054
Name:RAWLINS, JAMES DAVID JR (DDS)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:DAVID
Last Name:RAWLINS
Suffix:JR
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 1:1250 W.S.R 434 STE. 1008
Mailing Address - Street 2:DENTAL WORLD, INC.
Mailing Address - City:LONGWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:32750
Mailing Address - Country:US
Mailing Address - Phone:407-830-4401
Mailing Address - Fax:407-831-1249
Practice Address - Street 1:1250 W.S.R 434 STE. 1008
Practice Address - Street 2:
Practice Address - City:LONGWOOD
Practice Address - State:FL
Practice Address - Zip Code:32750
Practice Address - Country:US
Practice Address - Phone:407-830-4401
Practice Address - Fax:407-831-1249
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-24
Last Update Date:2014-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN80111223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice