Provider Demographics
NPI:1851966212
Name:MEYER, RACHEL LEE (DDS)
Entity Type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:LEE
Last Name:MEYER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:902 1ST ST
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:MN
Mailing Address - Zip Code:55371-1505
Mailing Address - Country:US
Mailing Address - Phone:651-270-3567
Mailing Address - Fax:
Practice Address - Street 1:3440 W OHIO ST
Practice Address - Street 2:USS OSBORNE, BUILDING 1017
Practice Address - City:FPO
Practice Address - State:AP
Practice Address - Zip Code:60088-3155
Practice Address - Country:US
Practice Address - Phone:847-688-2100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-26
Last Update Date:2021-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171000000XOther Service ProvidersMilitary Health Care Provider