Provider Demographics
NPI:1588783880
Name:JOSEPH R. RAUB, JR., D.M.D., M.SC.D., P.A.
Entity type:Organization
Organization Name:JOSEPH R. RAUB, JR., D.M.D., M.SC.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:REYNOLDS
Authorized Official - Last Name:RAUB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:254-771-5701
Mailing Address - Street 1:PO BOX 3280
Mailing Address - Street 2:
Mailing Address - City:TEMPLE
Mailing Address - State:TX
Mailing Address - Zip Code:76505-3280
Mailing Address - Country:US
Mailing Address - Phone:254-771-5701
Mailing Address - Fax:254-771-5770
Practice Address - Street 1:2122 BIRDCREEK DR
Practice Address - Street 2:
Practice Address - City:TEMPLE
Practice Address - State:TX
Practice Address - Zip Code:76502-1020
Practice Address - Country:US
Practice Address - Phone:254-771-5701
Practice Address - Fax:254-771-5770
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX182531223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty