Provider Demographics
NPI:1487178729
Name:EQUIHUA, RACHEL ELAINE (DMD)
Entity Type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:ELAINE
Last Name:EQUIHUA
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:ELAINE
Other - Last Name:DOWNING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1825 9TH AVE S
Mailing Address - Street 2:
Mailing Address - City:GREAT FALLS
Mailing Address - State:MT
Mailing Address - Zip Code:59405-2621
Mailing Address - Country:US
Mailing Address - Phone:941-357-6487
Mailing Address - Fax:
Practice Address - Street 1:1825 9TH AVE S
Practice Address - Street 2:
Practice Address - City:GREAT FALLS
Practice Address - State:MT
Practice Address - Zip Code:59405-2621
Practice Address - Country:US
Practice Address - Phone:941-357-6487
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-28
Last Update Date:2023-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ99721223G0001X
AR42101223G0001X
MT205701223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice