Provider Demographics
NPI:1013404797
Name:DORFNER, RACHEL A (DMD)
Entity Type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:A
Last Name:DORFNER
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:405 LAUREL CREEK BLVD
Mailing Address - Street 2:
Mailing Address - City:MOORESTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08057-3970
Mailing Address - Country:US
Mailing Address - Phone:609-410-5830
Mailing Address - Fax:
Practice Address - Street 1:811 SUNSET RD STE 105
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08016-3645
Practice Address - Country:US
Practice Address - Phone:609-479-3757
Practice Address - Fax:609-526-4122
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-18
Last Update Date:2023-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI0283090001223G0001X, 122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice