Provider Demographics
NPI:1497062889
Name:DUREL, RACHEL ANDERS (DDS)
Entity Type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:ANDERS
Last Name:DUREL
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:RACHEL
Other - Middle Name:RATCLIFF
Other - Last Name:ANDERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:335 DOUCET RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70503-3497
Mailing Address - Country:US
Mailing Address - Phone:337-981-8144
Mailing Address - Fax:337-981-4994
Practice Address - Street 1:335 DOUCET RD
Practice Address - Street 2:SUITE B
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70503-3497
Practice Address - Country:US
Practice Address - Phone:337-981-8144
Practice Address - Fax:337-981-4994
Is Sole Proprietor?:No
Enumeration Date:2010-09-07
Last Update Date:2014-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA6120122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist