MEDICARE: PATRICK RABUS DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	00203951	CO

General Provider Information

NPI Number	:	1497252001
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICK RABUS DMD

Provider Business Mailing Address
First Line	:	8441 W BOWLES AVE STE 220
Second Line	:
City	:	LITTLETON
State	:	CO
Zip	:	80123-9501
Country	:	US
Telephone Number	:	303-979-2544
Fax Number	:

Provider Business Practice Location Address
First Line	:	6691 W KEN CARYL AVE
Second Line	:
City	:	LITTLETON
State	:	CO
Zip	:	80128-5755
Country	:	US
Telephone Number	:	720-336-4853
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/10/2018
Last Update Date	:	03/13/2026

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