Provider Demographics
NPI:1467891275
Name:SIGMON, RACHEL ANNE GREGG (DDS)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:ANNE GREGG
Last Name:SIGMON
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 1:901 AMBERGATE STA
Mailing Address - Street 2:
Mailing Address - City:APEX
Mailing Address - State:NC
Mailing Address - Zip Code:27502-2432
Mailing Address - Country:US
Mailing Address - Phone:336-587-5155
Mailing Address - Fax:
Practice Address - Street 1:5638 NC HIGHWAY 42 W
Practice Address - Street 2:SUITE 214
Practice Address - City:GARNER
Practice Address - State:NC
Practice Address - Zip Code:27529-7998
Practice Address - Country:US
Practice Address - Phone:919-661-6161
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-14
Last Update Date:2015-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC94901223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice