Provider Demographics
NPI:1861824294
Name:POTTER-SPEARS, RACHEL MECHELLE (DDS)
Entity Type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:MECHELLE
Last Name:POTTER-SPEARS
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 1:2029 ORETHA CASTLE HALEY BLVD
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70113-1410
Mailing Address - Country:US
Mailing Address - Phone:504-523-3209
Mailing Address - Fax:
Practice Address - Street 1:2029 ORETHA CASTLE HALEY BLVD
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70113-1410
Practice Address - Country:US
Practice Address - Phone:504-523-3209
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-08
Last Update Date:2023-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA6412122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist