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NPI Code Detail

MEDICARE: DR. JACOB RABICHEV DDS

MEDICARE:  DR. JACOB  RABICHEV  DDS
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
1122300000XDentistDEN.00205116CO

General Provider Information

NPI Number : 1831837905
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JACOB RABICHEV DDS
Provider Business Mailing Address
First Line : 2454 FENTON ST
Second Line :
City : EDGEWATER
State : CO
Zip : 80214-1133
Country : US
Telephone Number : 612-860-5440
Fax Number :
Provider Business Practice Location Address
First Line : 1675 LARIMER ST STE 880
Second Line :
City : DENVER
State : CO
Zip : 80202-1523
Country : US
Telephone Number : 303-534-7797
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2022
Last Update Date : 05/26/2022

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Directions to “ DR. JACOB RABICHEV DDS” Practice Location

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