Provider Demographics
NPI:1326641531
Name:RACHEL M. GEORGE DDS, P.C.
Entity Type:Organization
Organization Name:RACHEL M. GEORGE DDS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:M
Authorized Official - Last Name:GEORGE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:630-923-8600
Mailing Address - Street 1:8600 WOODWARD AVE.
Mailing Address - Street 2:SUITE 100
Mailing Address - City:WOODRIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60517-3171
Mailing Address - Country:US
Mailing Address - Phone:630-923-8600
Mailing Address - Fax:630-923-6925
Practice Address - Street 1:8600 WOODWARD AVE.
Practice Address - Street 2:SUITE 100
Practice Address - City:WOODRIDGE
Practice Address - State:IL
Practice Address - Zip Code:60517-3171
Practice Address - Country:US
Practice Address - Phone:630-923-8600
Practice Address - Fax:630-923-6925
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-19
Last Update Date:2020-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty