Provider Demographics
NPI:1033353511
Name:APPELBLATT, RACHEL LYNNE (DDS, MD)
Entity Type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:LYNNE
Last Name:APPELBLATT
Suffix:
Gender:F
Credentials:DDS, MD
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Mailing Address - Street 1:591 TAHOE KEYS BLVD
Mailing Address - Street 2:SUITE D4
Mailing Address - City:SOUTH LAKE TAHOE
Mailing Address - State:CA
Mailing Address - Zip Code:96150-3358
Mailing Address - Country:US
Mailing Address - Phone:530-541-4042
Mailing Address - Fax:
Practice Address - Street 1:591 TAHOE KEYS BLVD
Practice Address - Street 2:SUITE D4
Practice Address - City:SOUTH LAKE TAHOE
Practice Address - State:CA
Practice Address - Zip Code:96150-3358
Practice Address - Country:US
Practice Address - Phone:530-541-4042
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-04-28
Last Update Date:2016-09-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA645261223S0112X
CA136733204E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
No204E00000XAllopathic & Osteopathic PhysiciansOral & Maxillofacial Surgery