Provider Demographics
NPI:1598141483
Name:WHIRT, RACHAEL HUNT (DMD)
Entity Type:Individual
Prefix:
First Name:RACHAEL
Middle Name:HUNT
Last Name:WHIRT
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1962 US HIGHWAY 17
Mailing Address - Street 2:
Mailing Address - City:RICHMOND HILL
Mailing Address - State:GA
Mailing Address - Zip Code:31324-6463
Mailing Address - Country:US
Mailing Address - Phone:912-756-3000
Mailing Address - Fax:
Practice Address - Street 1:1962 US HIGHWAY 17
Practice Address - Street 2:
Practice Address - City:RICHMOND HILL
Practice Address - State:GA
Practice Address - Zip Code:31324-6463
Practice Address - Country:US
Practice Address - Phone:912-756-3000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-03
Last Update Date:2016-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN015047122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist