Provider Demographics
NPI:1124389481
Name:OATES, RACHEL LEIGH (DDS)
Entity Type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:LEIGH
Last Name:OATES
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 1:3204 TURNDALE CT
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37064-6238
Mailing Address - Country:US
Mailing Address - Phone:678-644-2266
Mailing Address - Fax:
Practice Address - Street 1:1441 NEW HIGHWAY 96 W STE 6
Practice Address - Street 2:SUITE 101
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37064-4831
Practice Address - Country:US
Practice Address - Phone:615-790-4994
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-04
Last Update Date:2013-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDS0000009632122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist