Provider Demographics
NPI:1285003228
Name:PRESLEY, RHIANNON BAXTER (DDS)
Entity Type:Individual
Prefix:DR
First Name:RHIANNON
Middle Name:BAXTER
Last Name:PRESLEY
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:RHIANNON
Other - Middle Name:
Other - Last Name:BAXTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:750 W BONDS RANCH RD STE 100
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76131-3912
Mailing Address - Country:US
Mailing Address - Phone:817-242-5564
Mailing Address - Fax:
Practice Address - Street 1:750 W BONDS RANCH RD STE 100
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76131-3912
Practice Address - Country:US
Practice Address - Phone:817-242-5564
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-21
Last Update Date:2022-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX31153122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist