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Contact Information

TIMOTHY P RAUSCH, DMD
645 US HWY 61
NEW MADRID, MO63869
 Phone: 573-748-2225
 Fax: 573-748-5655
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for TIMOTHY P RAUSCH · (Male)

NPI Number 1629138425
Status Active
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 12/11/2006
Last updated 02/02/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • MO License # DE-015440
  • MO License # DE015440
  • MO Medicaid 403746407
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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