National Provider Identifier Database

GREGORY G RACKAUSKAS, DDS – NPI #1063434124
General Practice

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.


Contact Information

GREGORY G RACKAUSKAS, DDS
305 SOUTH LINDEN
NORMAL, IL61761
Phone: 309-454-1425
Fax:
Website:
Specialty Taxonomy Code
* General Practice 1223G0001X

* Indicates primary specialty

NPI Profile & details for GREGORY G RACKAUSKAS

NPI Number 1063434124
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 07/24/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor1 Yes
Identifiers
  • IL License #: 19014963
Hospital affiliation n/a

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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