Provider Demographics
NPI:1407532971
Name:RABY, JOSHUA CALVIN
Entity type:Individual
Prefix:
First Name:JOSHUA
Middle Name:CALVIN
Last Name:RABY
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2420 QUAKER AVE STE 104
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79410-1837
Mailing Address - Country:US
Mailing Address - Phone:806-797-0341
Mailing Address - Fax:
Practice Address - Street 1:2420 QUAKER AVE STE 104
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79410-1837
Practice Address - Country:US
Practice Address - Phone:806-797-0341
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-27
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX397761223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice