Provider Demographics
NPI:1083345417
Name:FINELLI, RACHEL GRACE (DDS)
Entity Type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:GRACE
Last Name:FINELLI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 CARNOUSTIE CT
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:TX
Mailing Address - Zip Code:77316-1466
Mailing Address - Country:US
Mailing Address - Phone:832-797-1513
Mailing Address - Fax:
Practice Address - Street 1:9700 LOUETTA RD
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379-6529
Practice Address - Country:US
Practice Address - Phone:281-370-8786
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-17
Last Update Date:2022-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX385771223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice