Provider Demographics
NPI:1477968238
Name:RACHEL K. GRIEGER DDS PA
Entity Type:Organization
Organization Name:RACHEL K. GRIEGER DDS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:KREKULA
Authorized Official - Last Name:GRIEGER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:218-385-3130
Mailing Address - Street 1:206 WALKER AVE N
Mailing Address - Street 2:
Mailing Address - City:NEW YORK MILLS
Mailing Address - State:MN
Mailing Address - Zip Code:56567-4004
Mailing Address - Country:US
Mailing Address - Phone:218-385-3130
Mailing Address - Fax:218-385-9131
Practice Address - Street 1:206 WALKER AVE N
Practice Address - Street 2:
Practice Address - City:NEW YORK MILLS
Practice Address - State:MN
Practice Address - Zip Code:56567-4004
Practice Address - Country:US
Practice Address - Phone:218-385-3130
Practice Address - Fax:218-385-9131
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-30
Last Update Date:2014-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty