Travis Blake Rabun, DDS
Dentist in Fort Collins, CO. Individual provider (NPI-1).
NPI number1457054876
StatusActive
Last updated in NPPESJun 11, 2023
Details
- NPI
- 1457054876
- Entity type
- Individual (NPI-1)
- Name
- Travis Blake Rabun
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 24, 2023
- Certification date
- Jun 11, 2023
- Last updated
- Jun 11, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 00205593 | CO | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
3506 Lochwood DrFort Collins, CO 80525-2995
Phone 720-331-4401
Mailing address
3506 Lochwood DrFort Collins, CO 80525-2995
Phone 720-331-4401
Other practice locations
2500 California Plz
Omaha, NE 68178-0002
Omaha, NE 68178-0002
Phone 402-280-5990
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All 94 Dentist providers in Fort Collins · All 8,883 providers in Fort Collins
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