Provider Demographics
NPI:1992951552
Name:RUBRIGHT, BILL CAMPBELL (DDS)
Entity type:Individual
Prefix:DR
First Name:BILL
Middle Name:CAMPBELL
Last Name:RUBRIGHT
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:WILLIAM
Other - Middle Name:CAMPBELL
Other - Last Name:RUBRIGHT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:31 FOREST HILL PL NE
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52240-9125
Mailing Address - Country:US
Mailing Address - Phone:319-338-2699
Mailing Address - Fax:
Practice Address - Street 1:31 FOREST HILL PL NE
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52240-9125
Practice Address - Country:US
Practice Address - Phone:319-338-2699
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-14
Last Update Date:2008-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA055281223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics