Provider Demographics
NPI:1760163265
Name:OGLESBY, RACHEL DOWNS (DMD)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:DOWNS
Last Name:OGLESBY
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:ELIZABETH
Other - Last Name:DOWNS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:417 BAY HARBOR CT
Mailing Address - Street 2:
Mailing Address - City:HUBERT
Mailing Address - State:NC
Mailing Address - Zip Code:28539-1304
Mailing Address - Country:US
Mailing Address - Phone:770-490-0974
Mailing Address - Fax:
Practice Address - Street 1:202 WB MCLEAN DR
Practice Address - Street 2:
Practice Address - City:CAPE CARTERET
Practice Address - State:NC
Practice Address - Zip Code:28584-8524
Practice Address - Country:US
Practice Address - Phone:252-393-8168
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-27
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC13366122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist