Henry E Rabun Jr., DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10238 Issued in GA

Practice address

2926 Professional Parkway
Augusta, GA 30907

Phone

(706) 860-0575

Fax

(706) 860-4186

NPI assigned

Jun 7, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Hank Elwyne Rabun Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400716800000",
    "number": "1861695926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2926 PROFESSIONAL PARKWAY",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "30907",
            "telephone_number": "706-860-0575",
            "fax_number": "706-860-4186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2926 PROFESSIONAL PARKWAY",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "30907",
            "telephone_number": "706-860-0575",
            "fax_number": "706-860-4186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RABUN",
        "first_name": "HENRY",
        "middle_name": "E",
        "name_suffix": "Jr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-07",
        "last_updated": "2014-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "10238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003246628",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HANK",
            "last_name": "RABUN",
            "middle_name": "ELWYNE",
            "credential": "DMD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• R. Ben Hardy, DMD, LLC
• R&R Home Care, LLC
• Albert Nathan Rabin, DDS
• Heather Raborn, NP-C
• Chasity G Rabun, NP
• Nichole Charlene Rader, LPC
• Monica Allyson Radford, M.D.
• Imad Radi, MD
• Radiation Oncology Associates
• Robert F Rafoth, D.D.S.

• General Practice Dentistry in Augusta, GA
• Providers in Augusta, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.