Provider Demographics
NPI:1427785013
Name:MARK R. RABATIN, DMD, PC
Entity type:Organization
Organization Name:MARK R. RABATIN, DMD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DR
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:R
Authorized Official - Last Name:RABATIN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:724-437-4991
Mailing Address - Street 1:160 WAYLAND SMITH DR STE 202
Mailing Address - Street 2:
Mailing Address - City:UNIONTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15401-7500
Mailing Address - Country:US
Mailing Address - Phone:724-437-4991
Mailing Address - Fax:724-437-5927
Practice Address - Street 1:160 WAYLAND SMITH DR STE 202
Practice Address - Street 2:
Practice Address - City:UNIONTOWN
Practice Address - State:PA
Practice Address - Zip Code:15401-7500
Practice Address - Country:US
Practice Address - Phone:724-437-4991
Practice Address - Fax:724-437-5927
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-03
Last Update Date:2022-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty