Provider Demographics
NPI:1962622209
Name:JEAN-PAUL RABBATH, DMD, PLLC
Entity type:Organization
Organization Name:JEAN-PAUL RABBATH, DMD, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JEAN-PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:RABBATH
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:603-286-8618
Mailing Address - Street 1:468 W. MAIN ST
Mailing Address - Street 2:P.O.BOX 308
Mailing Address - City:TILTON
Mailing Address - State:NH
Mailing Address - Zip Code:03276
Mailing Address - Country:US
Mailing Address - Phone:603-286-8618
Mailing Address - Fax:603-286-2255
Practice Address - Street 1:468 W. MAIN ST
Practice Address - Street 2:
Practice Address - City:TILTON
Practice Address - State:NH
Practice Address - Zip Code:03276
Practice Address - Country:US
Practice Address - Phone:603-286-8618
Practice Address - Fax:603-286-2255
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH31961223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty