Provider Demographics
NPI:1487760245
Name:RAHN, JAMES TROY (DDS)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:TROY
Last Name:RAHN
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:PO BOX 326
Mailing Address - Street 2:
Mailing Address - City:GLENNVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30427-0326
Mailing Address - Country:US
Mailing Address - Phone:912-654-3046
Mailing Address - Fax:912-654-3047
Practice Address - Street 1:1007 EAST BARNARD
Practice Address - Street 2:
Practice Address - City:GLENNVILLE
Practice Address - State:GA
Practice Address - Zip Code:30427-0000
Practice Address - Country:US
Practice Address - Phone:912-654-3046
Practice Address - Fax:912-654-3047
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA7231122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist